Provider Demographics
NPI:1275578650
Name:SILWANCE, LILY ASHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:LILY
Middle Name:ASHAM
Last Name:SILWANCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 ASH ST
Mailing Address - Street 2:11100 ASH ST #106
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1764
Mailing Address - Country:US
Mailing Address - Phone:913-345-1144
Mailing Address - Fax:913-345-0818
Practice Address - Street 1:11100 ASH ST
Practice Address - Street 2:11100 ASH ST #106
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1762
Practice Address - Country:US
Practice Address - Phone:913-345-1144
Practice Address - Fax:913-345-0818
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS04-17752OtherBOARD OF HEALING ARTS
KSAS9371181OtherD EA
MOR9410OtherBOARD OF HEALING ARTS.
KSLSILWANCE1OtherMD
KSLSILWANCE1OtherMD