LILLIAN CHRISTINE MACK APRN NPI 1275296055

NPI Information

NPI: 1275296055
Provider Name: LILLIAN CHRISTINE MACK, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1426 WILLOW BRANCH DR
ORLANDO, FL
ZIP 32828
Phone: (386) 216-9223
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Lillian Christine Mack, APRN is a primary care nurse practitioner in Orlando, FL. Lillian Christine Mack, APRN NPI is 1275296055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1426 WILLOW BRANCH DR
ORLANDO, FL
ZIP 32828-457
Phone: (386) 216-9223

The NPI 1275296055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2021 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	11015887	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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