Provider Demographics
NPI:1740072131
Name:BAJAMUNDE, LILY MAY FABRIGA (APRN)
Entity type:Individual
Prefix:MS
First Name:LILY MAY
Middle Name:FABRIGA
Last Name:BAJAMUNDE
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:1100 SNOWBERRY ST
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76031-0358
Mailing Address - Country:US
Mailing Address - Phone:517-243-2761
Mailing Address - Fax:
Practice Address - Street 1:11807 SOUTH FWY STE 360
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7045
Practice Address - Country:US
Practice Address - Phone:817-551-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1194501363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology