Healthcare Provider Details

I. General information

NPI: 1942118948
Provider Name (Legal Business Name): LILLIAN COTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 SE WESTOWN PKWY
WAUKEE IA
50263-3300
US

IV. Provider business mailing address

595 88TH ST APT 314
WEST DES MOINES IA
50266-8443
US

V. Phone/Fax

Practice location:
  • Phone: 515-446-3403
  • Fax:
Mailing address:
  • Phone: 712-635-4873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: