Ilcus, Lidia Stana

Ilcus, Lidia Stana is an individual health care provider with primary practice located at 71 Mdg 527 Gott Road, Vance Afb OK 73705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is her primary health care specialty. Ilcus, Lidia Stana can be contacted via phone (580) 213-7494.

Contact Information

Primary practice address
71 Mdg 527 Gott Road Vance Afb OK 73705
Phone: (580) 213-7494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 75062 Florida
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1811950090
LBN Legal business name Ilcus, Lidia Stana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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