Individual
LILLY ANNE DENIS KAMBEROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1706
Mailing address
7921 BATTURE DR, SHREVEPORT, LA 71115-2989
(318) 402-6037
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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