ALEXANDRA MARIE LILLY
NPI 1295242675
Licensed Practical Nurse in Penfield, NY

Active since January 06, 2018
20 GLEN VALLEY DR, PENFIELD, NY 14526(585) 368-8432 Get Directions Write a Review

NPPES record last updated: January 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About ALEXANDRA LILLY

This page provides the complete NPI Profile along with additional information for Alexandra Lilly, a provider established in Penfield, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1295242675 assigned on January 2018. The practitioner's primary taxonomy code is 164W00000X with license number 330482 (NY). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1295242675 Verify this NPI
Provider Name
ALEXANDRA MARIE LILLY
Gender
Female
Entity Type
Individual
Location Address
20 GLEN VALLEY DR PENFIELD, NY 14526
Location Phone
(585) 368-8432
Mailing Address
20 GLEN VALLEY DR PENFIELD, NY 14526
Mailing Phone
(585) 368-8432
Is Sole Proprietor?
No
Enumeration Date
01-06-2018
Last Update Date
01-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
330482
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295242675, enumerated as an "individual" on January 06, 2018.

The provider is located at 20 GLEN VALLEY DR PENFIELD, NY 14526 and the phone number is (585) 368-8432.

Licensed Practical Nurse with taxonomy code 164W00000X.