| Doctor Name: | MRS. LILLIE MAE DEAN |
| NPI Number: | 1043645062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REG.NURSEPRACTIONER |
| License Number: | 288380 |
| Business Practice Address: | 10101 Renner Blvd Lenexa, KS - 662199752 |
| Business Phone Number: | 9135771641 |
| Business Fax Number: | 9138596887 |
| Mailing Address: | 10101 Renner Blvd, LENEXA |
| State: | KS |
| Postal Code: | 66219 |
| Phone Number: | 9135771641 |
| Fax Number: | 9138596887 |
| NPI Enumeration Date: | 09/10/2013 |
| NPI Last Update Date: | 09/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 288380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |