Healthcare Provider Details

I. General information

NPI: 1124916051
Provider Name (Legal Business Name): LILIA CHESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 STATE ST
NEW ORLEANS LA
70118-5735
US

IV. Provider business mailing address

237 GUM BAYOU LN
KENNER LA
70065-6624
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-7200
  • Fax:
Mailing address:
  • Phone: 504-881-6717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number211530
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: