Provider Demographics
NPI:1922163369
Name:LILIA GALUTIRA
Entity type:Organization
Organization Name:LILIA GALUTIRA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:GALUTIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-671-9468
Mailing Address - Street 1:94-780 KONIAKA PL
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1276
Mailing Address - Country:US
Mailing Address - Phone:808-671-9468
Mailing Address - Fax:808-676-9038
Practice Address - Street 1:94-780 KONIAKA PL
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1276
Practice Address - Country:US
Practice Address - Phone:808-671-9468
Practice Address - Fax:808-676-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11487164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty