Individual
LILIANA MICHELLE GOMEZ MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2150 HERBERT CT, GREENVILLE, NC 27834
(252) 744-4965
(252) 744-1514
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
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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