Provider Demographics
NPI:1801697545
Name:HILLIARD, LAMAR A
Entity type:Individual
Prefix:
First Name:LAMAR
Middle Name:A
Last Name:HILLIARD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 KENTWOOD PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-3444
Mailing Address - Country:US
Mailing Address - Phone:614-203-5500
Mailing Address - Fax:
Practice Address - Street 1:3113 KENTWOOD PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3444
Practice Address - Country:US
Practice Address - Phone:614-203-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide