Provider Demographics
NPI:1902386972
Name:LILLMARS, MARGARET LOUISE (MA CCC- SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LOUISE
Last Name:LILLMARS
Suffix:
Gender:F
Credentials:MA CCC- SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:724 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8410
Mailing Address - Country:US
Mailing Address - Phone:610-653-6924
Mailing Address - Fax:
Practice Address - Street 1:1425 HORSHAM RD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1320
Practice Address - Country:US
Practice Address - Phone:215-371-3689
Practice Address - Fax:215-646-3542
Is Sole Proprietor?:No
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002457L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist