Most Relevant Information
Provider Data
| NPI Number: | 1003688201 |
| Provider Name: | LILLIAN TOLLISON PLPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2023015703 |
Most Important Dates
| Enumeration Date: | 10/23/2023 |
| Last Updated: | 10/23/2023 |
Provider Practice Location
501 N SUNSET LN
RAYMORE
MO
640839402
Practice Location Phone/Fax
| Phone: | 8448538937 |
| Fax: |
Provider Mailing Location
1800 COMMUNITY
CLINTON
MO
647358804
Provider Mailing Phone/Fax
| Phone: | 8448538937 |
| Fax: |