Provider Demographics
NPI:1821374703
Name:COHEN, LILY OLIVIER (ARNP/CNM)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:OLIVIER
Last Name:COHEN
Suffix:
Gender:F
Credentials:ARNP/CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16247 8TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2913
Mailing Address - Country:US
Mailing Address - Phone:206-330-9893
Mailing Address - Fax:206-243-8002
Practice Address - Street 1:16122 8TH AVE SW
Practice Address - Street 2:SUITE E5
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2967
Practice Address - Country:US
Practice Address - Phone:206-241-0824
Practice Address - Fax:206-243-8002
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60255203367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife