| Lady And Lilly Enterprizes, Inc. | |
|
8502 Two Notch Rd, Suite B, Columbia, SC 29223-6307 | |
| (803) 788-8254 | |
| Not Available |
| Full Name | Lady And Lilly Enterprizes, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8502 Two Notch Rd, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619099470 | NPI | - | NPPES |
| CH2551 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2551 (South Carolina) | Primary |
| Provider Name | Leif J Hoagland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356309991 PECOS PAC ID: 6901079656 Enrollment ID: I20111026000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Lady And Lilly Enterprizes, Inc. 8502 Two Notch Rd, Suite B, Columbia, SC 29223-6307 Ph: (803) 788-8254 | Lady And Lilly Enterprizes, Inc. 8502 Two Notch Rd, Suite B, Columbia, SC 29223-6307 Ph: (803) 788-8254 |
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