MEDICARE: LILY CUELLAR MS CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP20086	CA

General Provider Information

NPI Number	:	1518813856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILY CUELLAR MS CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 891
Second Line	:
City	:	LOWER LAKE
State	:	CA
Zip	:	95457-0891
Country	:	US
Telephone Number	:	707-510-1354
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 891
Second Line	:
City	:	LOWER LAKE
State	:	CA
Zip	:	95457-0891
Country	:	US
Telephone Number	:	707-510-1354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

Similar Medicare Providers

1659229185 — MANUELLA SMOLEY MS, CCC-SLP
Practice Location Address:

9430B LAKE ST
LOWER LAKE, CA
95457-8600

Practice Phone: 707-549-3092
Practice Fax:

1942156153 — JOYMARIE BRATTON
Practice Location Address:

9240 LAKE ST
LOWER LAKE, CA
95457-9525

Practice Phone: 707-994-5787
Practice Fax:

1649294919 — DAVID JOSEPH MINER DC
Practice Location Address:

16320 TISHATANG RD
LOWER LAKE, CA
95457-0815

Practice Phone: 707-994-5204
Practice Fax: 707-994-7924

1134226590 — DR. RONALD RAYMOND WALKER M.D.
Practice Location Address:

16250 MAIN STREET , SUITE A
LOWER LAKE, CA
95457-0713

Practice Phone: 707-995-3011
Practice Fax: 707-995-3019

1114086238 — TIM SHERRELL LCSW
Practice Location Address:

9667 HIGHWAY 29 , SUITE 200
LOWER LAKE, CA
95457

Practice Phone: 707-994-6726
Practice Fax: 707-998-3120

1245399088 — ADRIAAN FRANCOIS VAN WYK LMFT
Practice Location Address:

9667 HIGHWAY 29 , SUITE 102
LOWER LAKE, CA
95457

Practice Phone: 707-295-6019
Practice Fax:

Directions to “ LILY CUELLAR MS CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.