Individual
LILIA RASHITOVNA SHAMMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
(352) 527-8818
Mailing address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
(352) 527-8818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME108609
FL
208000000X
Pediatrics Physician
TRN 11788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002888100
—
FL
Enumeration date
07/05/2007
Last updated
03/08/2022
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