Provider Demographics
NPI:1033835061
Name:D'ORAZIO, LIANNA KATHERINE
Entity Type:Individual
Prefix:
First Name:LIANNA
Middle Name:KATHERINE
Last Name:D'ORAZIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 PARK RD STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3376
Mailing Address - Country:US
Mailing Address - Phone:704-523-5567
Mailing Address - Fax:
Practice Address - Street 1:4728 PARK RD STE C
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3376
Practice Address - Country:US
Practice Address - Phone:704-523-5567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical