Lillian Kim Ivansco in Atlanta - Diagnostic Radiology
Lillian Kim Ivansco - NPI 1043478605
Lillian Kim Ivansco is a Diagnostic Radiology in Atlanta, Georgia. Lillian Kim Ivansco practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Lillian Kim Ivansco is 1043478605. The last update date is 2022-01-10.
Lillian Kim Ivansco's current location address is 3495 Piedmont Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4043647285. The mailing address for Lillian Kim Ivansco is 3495 Piedmont Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lillian Kim Ivansco |
|---|---|
| Address | 3495 Piedmont Rd Ne, Atlanta, Georgia |
| Phone Number | 4043647285 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1043478605 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2022-01-10 |
Provider Mailing Address Detail
| Address | 3495 Piedmont Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303051717 |
| Phone Number | 4043647285 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD17668 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10026277500 | NE | -- | |
| 10026277600 | NE | -- | |
| 10026277700 | NE | -- | |
| 10026277300 | NE | -- | |
| 10026277400 | NE | -- | |
| 10026277800 | NE | -- | |
| 1043478605 | IA | -- | |
| 66229006 | NM | -- | |
| 929695 | AZ | -- | |
| 1043478605 | WY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lillian Kim Ivansco by the Centers for Medicare & Medicaid Services?
The Lillian Kim Ivansco has been assigned the NPI (National Provider Identifier) 1043478605. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lillian Kim Ivansco is physically located?
The Lillian Kim Ivansco is physically situated at the following address: 3495 Piedmont Rd Ne, Atlanta, GA, 303051717.
What is Lillian Kim Ivansco's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lillian Kim Ivansco's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043478605 to Lillian Kim Ivansco?
The Centers for Medicare & Medicaid Services originally issued the 1043478605 to Lillian Kim Ivansco on 2008-05-29.
When was the information related to Lillian Kim Ivansco most recently updated or refreshed?
The details pertaining to the Lillian Kim Ivansco, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-10.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL