Lillie, Lashune Gail

Lillie, Lashune Gail is an sole proprietor health care provider with primary practice located at 5430 Nw 4Th St , Ocala FL 34482-5589. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Lillie, Lashune Gail can be contacted via phone (352) 484-6064.

Contact Information

Primary practice address
5430 Nw 4Th St Ocala FL 34482-5589
Phone: (352) 484-6064
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1396047304
LBN Legal business name Lillie, Lashune Gail
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2010
Last updated Nov 23rd, 2010 - about 14 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 1396047304 NPPES
Florida MEDICAID 000730300

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