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Lily Shackleford
NPI 1801559687 · on the registry since 2021
Practice
- Address
- 10405 San Diego Mission Rd # 102104
San Diego, CA 92108 - Phone
- (619) 369-9442
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California