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1770509077
DIANE LILLIS
MADISON, WI
NPI
1770509077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 2266)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- DIANE LILLIS NP
675 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-257-9400
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Mailing Address
-- DIANE LILLIS NP
1265 JOHN Q HAMMONS DR
MADISON, WI 53717-1941
Phone number: 608-257-3842
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