Provider Demographics
NPI:1659964815
Name:GALMEZ, LILIAN (LVN, CMC)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:GALMEZ
Suffix:
Gender:F
Credentials:LVN, CMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18641 SATICOY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-7414
Mailing Address - Country:US
Mailing Address - Phone:818-357-8301
Mailing Address - Fax:
Practice Address - Street 1:18641 SATICOY ST
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-7413
Practice Address - Country:US
Practice Address - Phone:562-507-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA711110164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse