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Individual

LILIANA MICHELLE GOMEZ MENDEZ

Active
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Individual

LILIANA MICHELLE GOMEZ MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
2018-00341
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104184464
NC
01
19W24
BCBS OF NC
NC
01
NN19490322
MEDICARE
NC
Enumeration date
04/24/2012
Last updated
03/19/2025
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