| Lolly Therapeutics, Llc | |
|
134 Infield Ct Mooresville NC 28117-8026 | |
| (704) 799-6824 | |
| Not Available |
| Full Name | Lolly Therapeutics, Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 134 Infield Ct, Mooresville, North Carolina |
| Authorized Official Name and Position | Lonny Bernath (CEO) |
| Authorized Official Contact | 7042585148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lolly Therapeutics, Llc 134 Infield Ct Mooresville NC 28117-8026 Ph: (704) 799-6824 | Lolly Therapeutics, Llc 134 Infield Ct Mooresville NC 28117-8026 Ph: (704) 799-6824 |
| NPI Number | 1164847752 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164847752 | NPI | - | NPPES |
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