| NPI | 1023282969 |
|---|---|
| Doing Business As | LILYCARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRACIE M MALLBERG President 701-356-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ND 9395) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-08-01 |