Provider Demographics
NPI:1710873492
Name:BOYD, LILLIANA KATHLEEN (PA-C)
Entity type:Individual
Prefix:
First Name:LILLIANA
Middle Name:KATHLEEN
Last Name:BOYD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 783
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-0783
Mailing Address - Country:US
Mailing Address - Phone:678-653-3236
Mailing Address - Fax:
Practice Address - Street 1:101 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3810
Practice Address - Country:US
Practice Address - Phone:530-332-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant