person
Dr. Lillian Kim Ivansco, MD,MPH
Diagnostic Radiology Physician in Atlanta, Georgia
NPI 1043478605

Lillian Kim Ivansco is a Diagnostic Radiology Physician based in Atlanta, GA and is specialized in Diagnostic Radiology. Lillian Kim Ivansco practices in Atlanta, GA and has the professional credentials of MD,MPH. The NPI Number for Lillian Kim Ivansco is 1043478605 and holds a License No. MD17668 (Georgia).

The current practice location address for Lillian Kim Ivansco is 20 Glenlake Pkwy, Atlanta, GA and can be reached out via phone at 404-364-7285.

Location: 20 Glenlake Pkwy, Atlanta, GA, 30305-1717
person
Provider Profile Details
NPI Number
1043478605
Provider Name
Lillian Kim Ivansco
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Female
Address
20 Glenlake Pkwy, Atlanta, GA, 30305-1717
Phone Number
404-364-7285
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10026277500 05 NE
10026277600 05 NE
10026277700 05 NE
10026277300 05 NE
10026277400 05 NE
10026277800 05 NE
1043478605 05 IA
66229006 05 NM
929695 05 AZ
1043478605 05 WY
1043478605 05 UT
1043478605 05 MT
201098570A 05 KS
10025709000 05 NE
79754571 05 CO
institution
Provider Business Practice Location Address Details
Address
20 Glenlake Pkwy
City
State
Zip
30328-3473
Phone Number
404-364-7285
Fax Number
person
Provider Business Mailing Address Details
Address
20 Glenlake Pkwy
City
State
Zip
30328-3473
Phone Number
404-364-7285
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD17668 (Hawaii)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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