Provider Demographics
NPI:1871361576
Name:FINGLAND, LILLYANNA
Entity type:Individual
Prefix:
First Name:LILLYANNA
Middle Name:
Last Name:FINGLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10842 BETHANY CENTER RD
Mailing Address - Street 2:
Mailing Address - City:EAST BETHANY
Mailing Address - State:NY
Mailing Address - Zip Code:14054-9702
Mailing Address - Country:US
Mailing Address - Phone:585-406-9702
Mailing Address - Fax:
Practice Address - Street 1:10842 BETHANY CENTER RD
Practice Address - Street 2:
Practice Address - City:EAST BETHANY
Practice Address - State:NY
Practice Address - Zip Code:14054-9702
Practice Address - Country:US
Practice Address - Phone:585-406-9702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340986164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse