Individual
LILIA MARCELINA CID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 3RD ST NE, ROLLA, ND 58367-7137
(701) 477-3111
(701) 477-6342
Mailing address
PO BOX 699, 114 NE 3RD ST, ROLLA, ND 58367-0699
(701) 477-3111
(701) 477-6342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10591
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14424
—
ND
Enumeration date
09/25/2007
Last updated
05/24/2010
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