Provider Demographics
NPI:1154650505
Name:AIELLO, LIA
Entity Type:Individual
Prefix:
First Name:LIA
Middle Name:
Last Name:AIELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LIA
Other - Middle Name:AIELLO
Other - Last Name:REILLY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:332 MENDON ST
Mailing Address - Street 2:
Mailing Address - City:UPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01568-1440
Mailing Address - Country:US
Mailing Address - Phone:617-417-9816
Mailing Address - Fax:
Practice Address - Street 1:332 MENDON ST
Practice Address - Street 2:
Practice Address - City:UPTON
Practice Address - State:MA
Practice Address - Zip Code:01568-1440
Practice Address - Country:US
Practice Address - Phone:617-417-9816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula