Individual
DR. MARIA LILY VASCO DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1310 E DAVIS DR, TERRE HAUTE, IN 47802-4034
(812) 232-7337
(812) 232-7338
Mailing address
1310 EAST DAVIS DRIVE, TERRE HAUTE, IN 47802
(812) 232-7337
(812) 232-7338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01060009
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200507060
—
IN
Enumeration date
04/12/2006
Last updated
12/15/2011
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