Lilyco Services, Llc, NPI 1215459839
Addiction Medicine (Family Medicine) Physician in Henderson, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1215459839
NPI Entity Type Organization
Provider Name Lilyco Services, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 112 W Winder St, Henderson, NC, US
Provider Mailing Address 7004 Spanglers Spring Way, Raleigh, NC, US, 276105271
Is Sole Proprietor? No
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Organization Official

Official Name Yolando Oxendine
Official Position CHIEF EXECUTIVE OFFICER
Phone 919-395-8032

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207QA0401X

Taxonomy Name Addiction Medicine (Family Medicine) Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

Description A family medicine physician who specializes in the diagnosis and treatment of addictions.

Business Address

Lilyco Services, Llc
112 W Winder St

Henderson, NC, US

Phone: 919-395-8032
Fax: 919-395-8032

Mailing Address

Lilyco Services, Llc
7004 Spanglers Spring Way
Raleigh, NC, US
ZIP 276105271
Phone: 919-395-8032

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1588641880 NC MEDICAID 05
1861730095 NC MEDICAID 05

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