Provider Demographics
NPI:1578362703
Name:MECHAEL, LILIAN (PA)
Entity type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:MECHAEL
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 VIA RAVENNA
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6655
Mailing Address - Country:US
Mailing Address - Phone:661-227-2083
Mailing Address - Fax:
Practice Address - Street 1:5606 VIA RAVENNA
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-6655
Practice Address - Country:US
Practice Address - Phone:661-227-2083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA65671363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant