Provider Demographics
NPI:1932949153
Name:TICCHIONE, LILIANA
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:TICCHIONE
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 1:1210 CHAMBERS RD APT 316C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1730
Mailing Address - Country:US
Mailing Address - Phone:330-840-0521
Mailing Address - Fax:
Practice Address - Street 1:4806 KINGSHILL DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6204
Practice Address - Country:US
Practice Address - Phone:614-301-9249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant