Provider Demographics
NPI:1184216434
Name:HENNA, LILIANE LAMEY BESHAY
Entity Type:Individual
Prefix:
First Name:LILIANE
Middle Name:LAMEY BESHAY
Last Name:HENNA
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 1:201 HEDGEROW LN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-3344
Mailing Address - Country:US
Mailing Address - Phone:347-915-8415
Mailing Address - Fax:757-596-1863
Practice Address - Street 1:12444 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3042
Practice Address - Country:US
Practice Address - Phone:757-595-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist