Provider Demographics
NPI:1346761004
Name:VARGAS BARAHONA, LILIAN MARIA (MD)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:MARIA
Last Name:VARGAS BARAHONA
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 1:12700 EAST 19TH AVENUE
Mailing Address - Street 2:MAIL STOP B168
Mailing Address - City:AURORA, CO
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-4932
Mailing Address - Fax:303-724-4926
Practice Address - Street 1:12700 E. 19TH AVENUE
Practice Address - Street 2:MAIL B168
Practice Address - City:AURORA, CO
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-724-4932
Practice Address - Fax:303-724-4926
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NE35565207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program