Provider Demographics
NPI:1053695692
Name:ZHAMBEKOVA, LILIYA (LMP)
Entity type:Individual
Prefix:
First Name:LILIYA
Middle Name:
Last Name:ZHAMBEKOVA
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11122 GRAVELLE LK. DR SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-1348
Mailing Address - Country:US
Mailing Address - Phone:253-582-3348
Mailing Address - Fax:
Practice Address - Street 1:11122 GRAVELLE LK. DR SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-1348
Practice Address - Country:US
Practice Address - Phone:253-582-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020426225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist