Provider Demographics
NPI:1043575947
Name:BELL, LILLIAN L
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:L
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 SE WALNUT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-8327
Mailing Address - Country:US
Mailing Address - Phone:580-355-3259
Mailing Address - Fax:
Practice Address - Street 1:1510 SE WALNUT CREEK RD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-8327
Practice Address - Country:US
Practice Address - Phone:580-355-3259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-07
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional