Provider Demographics
NPI:1164558375
Name:MORGAN, LILLIAN M (LAC)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-1254
Mailing Address - Country:US
Mailing Address - Phone:717-887-4478
Mailing Address - Fax:717-699-4843
Practice Address - Street 1:1417 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-1254
Practice Address - Country:US
Practice Address - Phone:717-887-4478
Practice Address - Fax:717-699-4843
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000711171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist