Provider Demographics
NPI:1255141701
Name:LERRO, BILLI DOLORES
Entity type:Individual
Prefix:
First Name:BILLI
Middle Name:DOLORES
Last Name:LERRO
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 1:1704 N M ST
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-6623
Mailing Address - Country:US
Mailing Address - Phone:561-475-0357
Mailing Address - Fax:
Practice Address - Street 1:1704 N M ST
Practice Address - Street 2:
Practice Address - City:LAKE WORTH BEACH
Practice Address - State:FL
Practice Address - Zip Code:33460-6623
Practice Address - Country:US
Practice Address - Phone:561-475-0357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician