Provider Demographics
NPI:1609089465
Name:GARCIA, LILLIAN ELIZABETH (CNM)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:ELIZABETH
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Mailing Address - Street 1:1100 TRANCAS STREET
Mailing Address - Street 2:SUITE 250
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558
Mailing Address - Country:US
Mailing Address - Phone:707-257-7821
Mailing Address - Fax:707-257-2006
Practice Address - Street 1:1100 TRANCAS STREET
Practice Address - Street 2:SUITE 250
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558
Practice Address - Country:US
Practice Address - Phone:707-257-7821
Practice Address - Fax:707-257-2006
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1094367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife