| NPI | 1760002422 |
|---|---|
| Doing Business As | LILVIA SURGICAL ASSISTING, LLC. |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DANIEL TIMMERMEYER Surgical Assistant 719-321-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |