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
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95066338 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95007505 (CA) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
Other pediatric nurse practitioner providers in Richmond
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.