Provider Demographics
NPI:1962095109
Name:LESPIER, LILIANETTE (RPT)
Entity type:Individual
Prefix:
First Name:LILIANETTE
Middle Name:
Last Name:LESPIER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 GUNN HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-6311
Mailing Address - Country:US
Mailing Address - Phone:813-261-6088
Mailing Address - Fax:813-261-6087
Practice Address - Street 1:4525 GUNN HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-6311
Practice Address - Country:US
Practice Address - Phone:813-261-6088
Practice Address - Fax:813-261-6087
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT88002183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician