1760503999 NPI number — NENAD LILIC M.D.

Table of content: NENAD LILIC M.D. (NPI 1760503999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760503999 NPI number — NENAD LILIC M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LILIC
Provider First Name:
NENAD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760503999
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10411-105TH AVENUE
Provider Second Line Business Mailing Address:
APT. # 142
Provider Business Mailing Address City Name:
EDMONTON
Provider Business Mailing Address State Name:
AB
Provider Business Mailing Address Postal Code:
T5H4R8
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
780-735-4737
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROYAL ALEXANDRA HOSPITAL
Provider Second Line Business Practice Location Address:
10240 KINGSWAY
Provider Business Practice Location Address City Name:
EDMONTON
Provider Business Practice Location Address State Name:
AB
Provider Business Practice Location Address Postal Code:
T5H3V9
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
780-735-4737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0101X , with the licence number:  223319 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)