Individual
DR. MENELEO TRINIDAD LILAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 S AUBURN ST, KENNEWICK, WA 99336-5662
(509) 586-5538
(509) 586-4129
Mailing address
901 S AUBURN ST, KENNEWICK, WA 99336-5662
(509) 586-5538
(509) 586-4129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040572
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118686
—
WA
01
—
1598764979
NATIONAL PROVIDER NUMBER
WA
Enumeration date
07/19/2005
Last updated
10/22/2012
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