Provider Demographics
NPI:1790182020
Name:CHAPUT, LILY (MD,MPH)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:CHAPUT
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
Other - First Name:LILLIAN
Other - Middle Name:ANN
Other - Last Name:CHAPUT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,MPH
Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:530-878-0685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74539207R00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine