Provider Demographics
NPI:1629063557
Name:NAZARIO, LILIANA E (MD)
Entity Type:Individual
Prefix:
First Name:LILIANA
Middle Name:E
Last Name:NAZARIO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:12330 METCALF AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1324
Mailing Address - Country:US
Mailing Address - Phone:913-491-1616
Mailing Address - Fax:913-491-8061
Practice Address - Street 1:12330 METCALF AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1324
Practice Address - Country:US
Practice Address - Phone:913-491-1616
Practice Address - Fax:913-491-8061
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2022-02-10
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Provider Licenses
StateLicense IDTaxonomies
KS04-22063207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C51784Medicare UPIN