Provider Demographics
NPI:1184952194
Name:RAYMOND, LILYA ANN (NP)
Entity type:Individual
Prefix:MS
First Name:LILYA
Middle Name:ANN
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LILYA
Other - Middle Name:ANN
Other - Last Name:HAYNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:ZERFOSS BUILDING, STATION 17
Mailing Address - Street 2:VANDERBILT UNIVERSITY STUDENT HEALTH CENTER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ZERFOSS BUILDING STATION 17
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8710
Practice Address - Country:US
Practice Address - Phone:615-322-2427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014266363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health