Lillian Grace Mauroner, DO

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

DR.0073951 Issued in CO

Practice address

2055 N High St Ste 270
Denver, CO 80205-5545

Phone

(303) 301-9010

Fax

(303) 830-3165

NPI assigned

May 10, 2018

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lillian.mauroner@hca3.eclinicaldirectplus.com

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.

• Healthone Clinic Services - Pediatric Specialties LLC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1720293251

  Pediatric Nephrology

  NPD

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1679063119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST STE 270",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055545",
            "telephone_number": "303-301-9010",
            "fax_number": "303-830-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST STE 270",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055545",
            "telephone_number": "303-301-9010",
            "fax_number": "303-830-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURONER",
        "first_name": "LILLIAN",
        "middle_name": "GRACE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "CO",
            "license": "DR.0073951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauricio Waintrub M.D.P.C
• Mauricio Waintrub M.D.P.C
• Guy Richard Mauriello, MA, CAC III, LPC.
• Maurine C. Onat MD PC
• Laurie Mauro, LCSW
• Jaclyn Maury, MS SLP
• William J Maury, DO
• Maverick Living LTD.
• Maverick Living LTD.
• Mavi Transportation LLC

• Pediatric Nephrology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Nephrology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.