Lilliam Bottaro, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP4134 Issued in FL

Practice address

11621 SW 82ND Ter
Miami, FL 33173-3628

Phone

(786) 262-4330

NPI assigned

Mar 9, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lilliam Bottaro Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lilly Harmony Acupuncture LLC

  • Acupuncturist
  • Miami, FL
  • NPI 1336011543
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1043845159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 SW 82ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 SW 82ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733628",
            "telephone_number": "786-262-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTARO",
        "first_name": "LILLIAM",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAM",
            "last_name": "CAMPBELL",
            "middle_name": "BOTTARO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph A Both
• Gerald James Botko, DMD
• Mousa Botros, MD
• Diane Botta, LCSW
• Rafael Jesse Botta Jr., PSY.D.
• Avi Botwinick
• Yanet Bou Gomez, ARNP
• Laurice Bou Nemer, M.D.
• Marilyn Marques Bou, SLP
• Roselyn Boucan

• Acupuncturist in Miami, FL
• Providers in Miami, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.