Healthcare Provider Details
I. General information
NPI: 1467387217
Provider Name (Legal Business Name): LILLITH LAMURAGLIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 CORTLAND ST
NORWICH NY
13815-1316
US
IV. Provider business mailing address
5 CORTLAND ST
NORWICH NY
13815-1316
US
V. Phone/Fax
- Phone: 607-334-6378
- Fax:
- Phone: 607-334-6378
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 312865 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: