Provider Demographics
NPI:1245576495
Name:NAPLOITAN, LILLIE DEANNA
Entity Type:Individual
Prefix:
First Name:LILLIE
Middle Name:DEANNA
Last Name:NAPLOITAN
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 1:202 E SKYLINE VW
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-7474
Mailing Address - Country:US
Mailing Address - Phone:678-431-1001
Mailing Address - Fax:
Practice Address - Street 1:202 E SKYLINE VW
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-7474
Practice Address - Country:US
Practice Address - Phone:678-431-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator