Individual
LILY KWATAMPORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2012 S MAIN ST, STE C, GOSHEN, IN 46526-5200
(574) 500-2010
Mailing address
2012 S MAIN ST, STE C, GOSHEN, IN 46526-5200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01076257A
IN
174400000X
Specialist
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
EMC0008507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201354690
—
IN
Enumeration date
11/01/2009
Last updated
01/06/2026
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