Individual provider · Type 1 NPI

Lilas Dorothy Harley, DO

Student in an Organized Health Care Education/Training Program · Bradenton, FL

NPI number 1508489550 Active

Practice location

2020 26th Ave E
Bradenton, FL 34208-7753

Call (941) 782-4600 Map

Fax (941) 782-4601

Mailing address

PO Box 197515
Nashville, TN 37219-7515

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 1508489550

Lilas Dorothy Harley, DO's National Provider Identifier is 1508489550, issued on May 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bradenton, FL. The record was last updated on May 26, 2020.