MEDICARE: LILY HIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	SLP-SPA-LIC-12647	MT

General Provider Information

NPI Number	:	1740022888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILY HIER

Provider Business Mailing Address
First Line	:	621 S 3RD ST W
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-2515
Country	:	US
Telephone Number	:	603-306-1979
Fax Number	:

Provider Business Practice Location Address
First Line	:	2683 PALMER ST STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1757
Country	:	US
Telephone Number	:	406-214-3131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	06/25/2024

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Directions to “ LILY HIER ” Practice Location

Language	Start Address	Practice Location

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