Provider Demographics
NPI:1518253186
Name:BIRRIEL, LILLYBETH ACOSTA (MD)
Entity Type:Individual
Prefix:DR
First Name:LILLYBETH
Middle Name:ACOSTA
Last Name:BIRRIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LILLYBETH
Other - Middle Name:
Other - Last Name:ACOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:484-526-6048
Mailing Address - Fax:484-526-6500
Practice Address - Street 1:511 E 3RD ST
Practice Address - Street 2:SUITE 260
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-2072
Practice Address - Country:US
Practice Address - Phone:610-866-7417
Practice Address - Fax:610-866-1132
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD453211207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine