Provider Demographics
NPI:1114713377
Name:ROLON, LILIANA MARIE
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:MARIE
Last Name:ROLON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CENTENNIAL VLG
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08105-3511
Mailing Address - Country:US
Mailing Address - Phone:856-203-0019
Mailing Address - Fax:
Practice Address - Street 1:209 CENTENNIAL VLG
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-3511
Practice Address - Country:US
Practice Address - Phone:856-203-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula