Most Relevant Information
Provider Data
| NPI Number: | 1003267758 |
| Provider Name: | ALICIA LILLY REGISTERED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 174547 |
Most Important Dates
| Enumeration Date: | 06/23/2016 |
| Last Updated: | 06/23/2016 |
Provider Practice Location
18930 E 43RD AVE
DENVER
CO
802497145
Practice Location Phone/Fax
| Phone: | 7203741070 |
| Fax: |
Provider Mailing Location
18930 E 43RD AVE
DENVER
CO
802497145
Provider Mailing Phone/Fax
| Phone: | 7203741070 |
| Fax: |