Provider Demographics
NPI:1417354952
Name:FERIA, LILIA R (NMD)
Entity Type:Individual
Prefix:DR
First Name:LILIA
Middle Name:R
Last Name:FERIA
Suffix:
Gender:F
Credentials:NMD
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Mailing Address - Street 1:10149 N 92ND ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4557
Mailing Address - Country:US
Mailing Address - Phone:480-463-4464
Mailing Address - Fax:480-383-6804
Practice Address - Street 1:10149 N 92ND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4557
Practice Address - Country:US
Practice Address - Phone:480-463-4464
Practice Address - Fax:480-383-6804
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2015-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ14-1468207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine