| Doctor Name: | MS. LILLIAN T PEARSALL |
| NPI Number: | 1043390628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | 146664 |
| Business Practice Address: | 421 N Main St Leeds, MA - 010539764 |
| Business Phone Number: | 4135844040 |
| Business Fax Number: | 4135823177 |
| Mailing Address: | 406 Hart Rd, CONWAY |
| State: | MA |
| Postal Code: | 013419707 |
| Phone Number: | 4135844040 |
| Fax Number: | 4135823177 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 146664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |