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Individual

LILAMANI ROMAYNE KURUKULASURIYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2273
(573) 884-4609
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD137430
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131567
BLUE SHIELD/BLUE CHOICE
MO
05
205202401
MO
01
2087187701
KANSAS MEDICAID
KS
01
3300050
UNITED HEALTHCARE
MO
01
445672
HEALTHLINK
MO
Enumeration date
05/23/2006
Last updated
09/02/2022
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