Small, Lily Grace

Small, Lily Grace is an individual health care provider with primary practice located at 11 Quarter Horse Ln , Fitchburg MA 01420-8926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Small, Lily Grace can be contacted via phone (978) 906-5410.

Contact Information

Primary practice address
11 Quarter Horse Ln Fitchburg MA 01420-8926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA102960 Massachusetts

Profile Details

NPI number 1700632387
LBN Legal business name Small, Lily Grace
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2024
Last updated Aug 12th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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