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NPI Code Detail

MEDICARE: LILLIAN NASRAH

MEDICARE: LILLIAN NASRAH
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1417804055
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN NASRAH
Provider Business Mailing Address
First Line : 233 NORTHWOOD DR
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5832
Country : US
Telephone Number : 415-748-0582
Fax Number :
Provider Business Practice Location Address
First Line : 2000 POWELL ST STE 900
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1888
Country : US
Telephone Number : 510-982-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/17/2026

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Directions to “ LILLIAN NASRAH ” Practice Location

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