Provider Demographics
NPI:1508331570
Name:DURAN, LILLY MARIA
Entity Type:Individual
Prefix:
First Name:LILLY
Middle Name:MARIA
Last Name:DURAN
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 1:4134 BERMUDA DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77503-2806
Mailing Address - Country:US
Mailing Address - Phone:832-226-9843
Mailing Address - Fax:
Practice Address - Street 1:4134 BERMUDA DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77503-2806
Practice Address - Country:US
Practice Address - Phone:832-226-9843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care