OrganizationActive
Lily Wellness
NPI 1003130964 · Prosthetic/Orthotic Supplier · Burnsville, MN
Provider details
- NPI number
- 1003130964
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jan Beeson, President(952) 435-2661
- License
- CFM02120 (MN)
Specialties & taxonomies
Suppliers
Practice location
1601 Southcross Dr W
Burnsville, MN 55306-7013
Phone: (952) 435-2661
Approximate (ZIP-level) locationGet directions
Mailing address
1601 Southcross Dr W
Burnsville, MN 55306-7013
Registry dates
- Enumerated
- 2010-03-22
- Last updated
- 2010-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.