Provider Demographics
NPI:1538966221
Name:PATTENGILL, LILIAN DOWNEY
Entity type:Individual
Prefix:
First Name:LILIAN
Middle Name:DOWNEY
Last Name:PATTENGILL
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 N DITHRIDGE ST APT 514
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2616
Mailing Address - Country:US
Mailing Address - Phone:619-993-8304
Mailing Address - Fax:
Practice Address - Street 1:144 N DITHRIDGE ST APT 514
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2616
Practice Address - Country:US
Practice Address - Phone:619-993-8304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAE3760614146N00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic