Provider Demographics
NPI:1780382655
Name:GREIMEL, LILIANA LOURDES
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:LOURDES
Last Name:GREIMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOJO
Other - Middle Name:
Other - Last Name:GREIMEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1355 N SILVERY LN
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1032
Mailing Address - Country:US
Mailing Address - Phone:313-464-9667
Mailing Address - Fax:
Practice Address - Street 1:31557 SCHOOLCRAFT RD STE 200
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1848
Practice Address - Country:US
Practice Address - Phone:734-530-3907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician