Lively, Jillian Marie

Lively, Jillian Marie is an sole proprietor health care provider with primary practice located at 26531 Aliso Creek Rd , Aliso Viejo CA 92656-2882. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lively, Jillian Marie can be contacted via phone (949) 448-0082.

Contact Information

Primary practice address
26531 Aliso Creek Rd Aliso Viejo CA 92656-2882
Phone: (949) 448-0082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 61103 California

Profile Details

NPI number 1992085526
LBN Legal business name Lively, Jillian Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 2011 - 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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