Provider Demographics
NPI:1003014036
Name:LILLO, BARBARA Y (CCA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:Y
Last Name:LILLO
Suffix:
Gender:F
Credentials:CCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 UNION BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1861
Mailing Address - Country:US
Mailing Address - Phone:303-973-8482
Mailing Address - Fax:303-973-8468
Practice Address - Street 1:255 UNION BLVD STE 230
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1861
Practice Address - Country:US
Practice Address - Phone:303-973-8482
Practice Address - Fax:303-973-8468
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes229N00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersAnaplastologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08835233Medicaid