Chavez, Lilly
Chavez, Lilly is an individual health care provider with primary practice located at 117 N San Mateo Dr , San Mateo CA 94401-2793. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Chavez, Lilly can be contacted via phone (650) 425-9408.Contact Information
Primary practice address
117 N San Mateo Dr
San Mateo CA 94401-2793
Phone: (650) 425-9408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 95012830 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 95012830 | California |
Profile Details
| NPI number | 1609417567 |
|---|---|
| LBN Legal business name | Chavez, Lilly |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2019 |
| Last updated | Oct 2nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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