Provider Demographics
NPI:1942372107
Name:TAPIA, LILIANA ANDREA (PT29264)
Entity Type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:ANDREA
Last Name:TAPIA
Suffix:
Gender:F
Credentials:PT29264
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Mailing Address - Street 1:237 W PINE AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-4055
Mailing Address - Country:US
Mailing Address - Phone:805-735-8019
Mailing Address - Fax:
Practice Address - Street 1:401 E CYPRESS AVE FL 2
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-6806
Practice Address - Country:US
Practice Address - Phone:805-737-7715
Practice Address - Fax:805-737-7726
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29264167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician