MEDICARE: LEMI LILO PSYCHIATRIC NURSING APC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1265378426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEMI LILO PSYCHIATRIC NURSING APC

Provider Business Mailing Address
First Line	:	2112 CAMINO LARGO DR
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-1039
Country	:	US
Telephone Number	:	312-838-8231
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 CAMINO LARGO DR
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-1039
Country	:	US
Telephone Number	:	312-838-8231
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LEMI LILO
Credential	:	NP
Telephone Number	:	312-838-8231

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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