Lilian Paciorkowski, NP

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

4704174902 Issued in MI

Practice address

4600 Investment Dr Ste 200
Troy, MI 48098-6375

Phone

(248) 267-5050

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lily Paciorkowski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1174055362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27145 SPRING GATE DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481832790",
            "telephone_number": "313-433-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986375",
            "telephone_number": "248-267-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIORKOWSKI",
        "first_name": "LILIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MI",
            "license": "4704174902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "PACIORKOWSKI",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Shaquana Christina-Marie Owens
• Teresa Oxholm, MD
• Tarek Pacha, D.O
• Maria Theresa Pacis Biederman
• Padua Home Health Care, LLC
• Megan Ann Pagel, PT, DPT
• Brian Thomas Pagett, MPT
• Sharnita Trice Paige, BS, SST

• Gerontology Clinical Nurse Specialist in Troy, MI
• Providers in Troy, MI by specialty
• Gerontology Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.