Provider Demographics
NPI:1750810271
Name:TOCCO, LILIAN
Entity type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:
Last Name:TOCCO
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LILIAN
Other - Middle Name:
Other - Last Name:TOCCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSEDU, MS
Mailing Address - Street 1:6724 W MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53220-1340
Mailing Address - Country:US
Mailing Address - Phone:414-405-1682
Mailing Address - Fax:414-979-6449
Practice Address - Street 1:6724 W MORGAN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53220-1340
Practice Address - Country:US
Practice Address - Phone:414-405-1682
Practice Address - Fax:414-979-6449
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI828694101YS0200X
WI6569-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool