Provider Demographics
NPI:1386873537
Name:SARRAFF, LILLIANE M (MD)
Entity type:Individual
Prefix:DR
First Name:LILLIANE
Middle Name:M
Last Name:SARRAFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 AUSTIN PL
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8897
Mailing Address - Country:US
Mailing Address - Phone:786-205-2027
Mailing Address - Fax:
Practice Address - Street 1:9195 GRANT ST STE 305
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4386
Practice Address - Country:US
Practice Address - Phone:786-205-2027
Practice Address - Fax:720-678-9860
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1129842080P0204X
CODR.00528902080P0204X, 208000000X, 207R00000X
PAMP1947642080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine