Individual provider · Type 1 NPI

Lilly Marie Temple

Student in an Organized Health Care Education/Training Program · Sylmar, CA

NPI number 1184104671 Active

Practice location

11600 Eldridge Ave
Sylmar, CA 91342

Call (818) 671-9392 Map

Mailing address

18657 Collins St Apt 18
Tarzana, CA 91356-2146

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184104671

Lilly Marie Temple's National Provider Identifier is 1184104671, issued on Aug 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sylmar, CA. The record was last updated on Aug 15, 2018.