LILLY HA

LAGUNA BEACH, CA
NPI1275339244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-02-20
Last Update Date2025-12-12
Business Address
LILLY HA
310 GLENNEYRE ST
LAGUNA BEACH, CA 92651-2311
Phone number: 949-209-9266
Mailing Address
LILLY HA
310 GLENNEYRE ST
LAGUNA BEACH, CA 92651-2311
Phone number: 949-209-9266