Provider Demographics
NPI:1215474135
Name:SABET, LILIYA FAYZULLINA (DO)
Entity type:Individual
Prefix:
First Name:LILIYA
Middle Name:FAYZULLINA
Last Name:SABET
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LILIA
Other - Middle Name:ALBERTOVNA
Other - Last Name:FAYZULLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1010 S SCHEUBER RD STE 3&4
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-8892
Mailing Address - Country:US
Mailing Address - Phone:360-827-7966
Mailing Address - Fax:360-827-7977
Practice Address - Street 1:1010 S SCHEUBER RD STE 3&4
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-8892
Practice Address - Country:US
Practice Address - Phone:360-827-7966
Practice Address - Fax:360-827-7977
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP61655410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine