Lilliebjerg, Laura
Lilliebjerg, Laura is an sole proprietor health care provider with primary practice located at 4601 N 34Th St , Phoenix AZ 85018-3320. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Lilliebjerg, Laura can be contacted via phone (602) 381-6160.Contact Information
Primary practice address
4601 N 34Th St
Phoenix AZ 85018-3320
Phone: (602) 381-6160
Fax: (602) 381-6170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Local Education Agency (LEA) | 251300000X | Arizona |
Profile Details
NPI number | 1881732790 |
---|---|
LBN Legal business name | Lilliebjerg, Laura |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 2nd, 2007 |
Last updated | Jul 25th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881732790 | NPPES |
Arizona | MEDICAID | 705121 |
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