NPI 1003130964

Lily Wellness

Organisation Prosthetic/Orthotic Supplier Burnsville, MN

Practice location

Address: 1601 Southcross Dr W, Burnsville, MN 55306-7013
Phone: (952) 435-2661

Authorised official

Name: Jan Beeson
Title: President
Phone: (952) 435-2661

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CFM02120 (MN)

Other Prosthetic/Orthotic Supplier providers in Minnesota →

Registry record

NPI: 1003130964
Entity type: Organization
NPI issued: 22 Mar 2010
Record last updated: 22 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.