Basic Information
| Provider Information | |||||||||
| NPI: | 1821374703 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COHEN | ||||||||
| FirstName: | LILY | ||||||||
| MiddleName: | OLIVIER | ||||||||
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| Credential: | ARNP/CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16247 8TH AVE SW | ||||||||
| Address2: | |||||||||
| City: | BURIEN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981662913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063309893 | ||||||||
| FaxNumber: | 2062438002 | ||||||||
| Practice Location | |||||||||
| Address1: | 16122 8TH AVE SW | ||||||||
| Address2: | SUITE E5 | ||||||||
| City: | BURIEN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981662967 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062410824 | ||||||||
| FaxNumber: | 2062438002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2011 | ||||||||
| LastUpdateDate: | 10/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | AP60255203 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.