Conway, Lillian M

Conway, Lillian M is an individual health care provider with primary practice located at 128 Argus Ln Ste G , Mooresville NC 28117-6973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Conway, Lillian M can be contacted via phone (704) 660-4362.

Contact Information

Primary practice address
128 Argus Ln Ste G Mooresville NC 28117-6973
Phone: (704) 660-4362
Fax: (704) 663-0442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 291149 North Carolina

Profile Details

NPI number 1285745935
LBN Legal business name Conway, Lillian M
Credentials RN,MS,FNP-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285745935 NPPES
New York MEDICAID 02184701
New York Other 000497747001
New York Other 070327000103
New York Other 356359
New York Other 200312
New York Other 77645

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