Provider Demographics
NPI:1497506554
Name:MARKOVITZ, LILLIAN ANNETTE
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:ANNETTE
Last Name:MARKOVITZ
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 1:7520 CROWL RD
Mailing Address - Street 2:
Mailing Address - City:DE GRAFF
Mailing Address - State:OH
Mailing Address - Zip Code:43318-8901
Mailing Address - Country:US
Mailing Address - Phone:937-541-3207
Mailing Address - Fax:
Practice Address - Street 1:7520 CROWL RD
Practice Address - Street 2:
Practice Address - City:DE GRAFF
Practice Address - State:OH
Practice Address - Zip Code:43318-8901
Practice Address - Country:US
Practice Address - Phone:937-541-3207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No347C00000XTransportation ServicesPrivate Vehicle