Provider Demographics
NPI:1710778030
Name:GERALDES, LILLIANA (AUDIOLOGIST)
Entity type:Individual
Prefix:DR
First Name:LILLIANA
Middle Name:
Last Name:GERALDES
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 FARNHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-1113
Mailing Address - Country:US
Mailing Address - Phone:201-314-2162
Mailing Address - Fax:
Practice Address - Street 1:359 FARNHAM AVE
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1113
Practice Address - Country:US
Practice Address - Phone:201-314-2162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00130200231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist