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NPI Code Detail

MEDICARE: LILIA MONTOYA

MEDICARE: LILIA MONTOYA
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
12255A2300XAthletic TrainerPA

General Provider Information

NPI Number : 1073913075
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIA MONTOYA
Provider Business Mailing Address
First Line : 64 PARKSIDE CIR
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-3502
Country : US
Telephone Number : 267-444-3776
Fax Number :
Provider Business Practice Location Address
First Line : 64 PARKSIDE CIR
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-3502
Country : US
Telephone Number : 267-444-3776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/26/2014

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Directions to “ LILIA MONTOYA ” Practice Location

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