Healthcare Provider Details

I. General information

NPI: 1750810271
Provider Name (Legal Business Name): MRS. LILIAN TOCCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LILIAN TOCCO MS.EDU, MS.

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6724 W MORGAN AVE
MILWAUKEE WI
53220-1340
US

IV. Provider business mailing address

6724 W MORGAN AVE
MILWAUKEE WI
53220-1340
US

V. Phone/Fax

Practice location:
  • Phone: 414-405-1682
  • Fax: 414-979-6449
Mailing address:
  • Phone: 414-405-1682
  • Fax: 414-979-6449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6569-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number828694
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: