Provider Demographics
NPI:1750867016
Name:MONIE, LILIAN K
Entity Type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:K
Last Name:MONIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 PINENUT DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2900
Mailing Address - Country:US
Mailing Address - Phone:469-442-5170
Mailing Address - Fax:
Practice Address - Street 1:2004 PINENUT DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2900
Practice Address - Country:US
Practice Address - Phone:469-442-5170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion