MR. LAURA C LILLICOTCH (NPI# 1316959489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316959489 |
| Entity Type | Individual |
| Full Name | MR. LAURA C LILLICOTCH |
| Credential | LCPC |
| Practice Address |
5316 Hoffmanville Rd Manchester MD 21102-2237 |
| Practice Telephone | 4435708511 |
| Mailing Telephone | 4435708511 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC1288 | MD | Behavioral Health & Social Service Providers |
| Street Address |
5316 HOFFMANVILLE RD |
| City | MANCHESTER |
| State | MD |
| Zip Code | 21102-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669516183 | Victor R Aybar | Podiatrist | 2963 Manchester Rd Ste D, Manchester, MD 21102 | 2007-02-17 |
| 1114924115 | Long View Nursing Home, Inc. | Skilled Nursing Facility | 3332 Main St, Pob 390, Manchester, MD 21102-0390 | 2005-07-05 |
| 1194364588 | Cynthia Ekwutife | Registered Nurse | 2504 Highcrest Ct, Manchester, MD 21102-1413 | 2020-01-02 |
| 1093058596 | Angella Vassell | Counselor | 3206 Mccurley Dr, Manchester, MD 21102-1449 | 2013-04-03 |
| 1033368337 | Michael Gale Eyer | Family Medicine | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2008-09-11 |
| 1073017224 | Stephanie Lynn Vagnier | Nurse Practitioner | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2018-03-22 |
| 1306252341 | Carroll Health Group, LLC | Family Medicine | 4175 Hanover Pike, Suite A, Manchester, MD 21102-1454 | 2014-07-10 |
| 1790261428 | Kayla Dolch | Behavioral Analyst | 3907 Calvins Twilight Way, Manchester, MD 21102-1512 | 2018-07-16 |
| 1801204797 | Heather Schwendeman-kincaid | Behavioral Analyst | 2901 Holland Dr, Manchester, MD 21102-1737 | 2014-07-24 |
| 1285800110 | Jacqueline G. Hancock, Crna, Pa | Nurse Anesthetist, Certified Registered | 3245 Farm Ln, Manchester, MD 21102-1780 | 2008-04-30 |
| Find all providers in zip 21102 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506643 | Angela B Flanagan | Counselor | 112 Arnott Rd, Manchester, CT 06040-4529 | 2019-09-10 |
| 1184132094 | Revitalize Counseling Services LLC | Counselor | 2401 Woodland Rd, Manchester, NJ 08759-6135 | 2018-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1770973570 | Naree Thao | Counselor | 910 Dogwood Creek Dr Apt F, Manchester, MO 63021-8565 | 2015-01-31 |
| 1407245269 | Ann M Sullivan | Counselor | 2460 Clarjon Dr, Manchester, MO 63021-7821 | 2015-01-16 |
| 1891038956 | Jaleesa Hernandez Jones | Counselor | 843 Main St Ste 2, Manchester, CT 06040-6041 | 2013-03-27 |
| 1841526324 | Thomas Ray Lawson | Counselor | 621 Henley St, Manchester, TN 37355-2103 | 2009-10-19 |
| 1568646917 | Joan L Nester | Counselor | 1375 Carman Rd, Berean House, Manchester, MO 63021-5600 | 2007-12-20 |
| 1598898686 | Vicki I Simmons | Counselor | 315 Stephanie, Manchester, MO 63011 | 2007-03-14 |
| 1245376250 | Rachel Marie Millonas | Counselor | 741 Ridgeside Dr, C, Manchester, MO 63021-7754 | 2007-01-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 21102 |
Please comment or provide details below to improve the information on MR. LAURA C LILLICOTCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.