Individual provider · Type 1 NPI

Lilly Pakawongse, RN, MSN, CPNP-PC

Pediatric Nurse Practitioner · Richmond, CA

NPI number 1366952020 Active

Practice location

2970 Hilltop Mall Rd Ste 305
Richmond, CA 94806-5274

Fax (510) 222-5487

Mailing address

2425 Geary Blvd
San Francisco, CA 94115-3358

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95066338 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X95007505 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366952020

Lilly Pakawongse, RN, MSN, CPNP-PC's National Provider Identifier is 1366952020, issued on Oct 9, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Richmond, CA. The record was last updated on Jan 11, 2022.