Bridgett Larhonda Lilly, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN208954 Issued in CA

Practice address

2076 Magnolia Ave Apt 3
Long Beach, CA 90806-4642

Phone

(562) 449-5172

NPI assigned

Mar 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1073261343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 MAGNOLIA AVE APT 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064642",
            "telephone_number": "562-449-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 MAGNOLIA AVE APT 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064642",
            "telephone_number": "562-449-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "BRIDGETT",
        "middle_name": "LARHONDA",
        "name_prefix": "Miss",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN208954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casandra J Lifschitz
• Monique Liggins
• Emily Ligorria
• Lilia Sheynman, PHD Inc.,
• Susan Lillicrop, RPH
• Aaron Lim
• Derrick Guy Lim, OD
• Judy Lim, NP
• Maria W Lim, OTR,L
• Minho Lim, LVN

• Licensed Vocational Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.