DR. LIDIA ILCUS, M.D.
Military Health Care Provider
Active
Individual
NPI: 1811950090
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | No | ME 75062 (FL) |
| Military Health Care Provider | 171000000X | Yes | - |
Frequently Asked Questions
NPI 1811950090 is the National Provider Identifier for DR. LIDIA ILCUS, M.D., a Military Health Care Provider provider located in Vance Afb, OK. This NPI was enumerated on April 10, 2006.
DR. LIDIA ILCUS, M.D. practices at 71 MDG, 527 GOTT ROAD, Vance Afb, OK 73705.
Quick Facts
- NPI
- 1811950090
- Type
- Individual
- Enumerated
- Apr 10, 2006
- Last Updated
- Mar 5, 2021
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