Provider Demographics
NPI:1073803920
Name:LILIANA TORRES-POPP, M.D., P.S.C.
Entity Type:Organization
Organization Name:LILIANA TORRES-POPP, M.D., P.S.C.
Other - Org Name:LILIANA TORRES-POPP, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TORRES-POPP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-282-3060
Mailing Address - Street 1:1120 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3702
Mailing Address - Country:US
Mailing Address - Phone:812-282-3060
Mailing Address - Fax:812-288-2418
Practice Address - Street 1:1120 SPRING ST
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3702
Practice Address - Country:US
Practice Address - Phone:812-282-3060
Practice Address - Fax:812-288-2418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN50003972A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN095409Medicare UPIN