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
Fax: (602) 381-6170
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881732790 NPPES
Arizona MEDICAID 705121

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