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Lily Kwatampora, MD
Specialist in Goshen, Indiana
NPI 1407182041

Lily Kwatampora is a Specialist based in Goshen, IN. Lily Kwatampora practices in Goshen, IN and has the professional credentials of MD. The NPI Number for Lily Kwatampora is 1407182041 and holds a License No. (Indiana).

The current practice location address for Lily Kwatampora is 2012 S Main St, Goshen, IN and can be reached out via phone at 574-500-2010.

Location: 2012 S Main St, Goshen, IN, 46526-5200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407182041
Provider Name
Lily Kwatampora
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2012 S Main St, Goshen, IN, 46526-5200
Phone Number
574-500-2010
Fax Number
Provider Enumeration Date
11/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201354690 05 IN
institution
Provider Business Practice Location Address Details
Address
2012 S Main St
City
Goshen
State
Indiana
Zip
46526-5200
Phone Number
574-500-2010
Fax Number
person
Provider Business Mailing Address Details
Address
2012 S Main St
City
Goshen
State
Indiana
Zip
46526-5200
Phone Number
574-500-2010
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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