Provider Demographics
NPI:1528756178
Name:BREESE, LILLIAN HANNAH
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:HANNAH
Last Name:BREESE
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 1:351 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1079
Mailing Address - Country:US
Mailing Address - Phone:740-272-2064
Mailing Address - Fax:
Practice Address - Street 1:4488 FOX PATH CT
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-6014
Practice Address - Country:US
Practice Address - Phone:614-579-2515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker