Provider Demographics
NPI:1346977642
Name:ONWUKA, LILIAN ONYINYE (PMHNP)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:ONYINYE
Last Name:ONWUKA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:LILIAN
Other - Middle Name:ONYINYE
Other - Last Name:ONWUKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 3834
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-0834
Mailing Address - Country:US
Mailing Address - Phone:719-423-0694
Mailing Address - Fax:
Practice Address - Street 1:803 W 4TH ST STE U
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2392
Practice Address - Country:US
Practice Address - Phone:719-423-0694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997768-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health