Individual
DR. LIDIA STANA ILCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 MDG, 527 GOTT ROAD, VANCE AFB, OK 73705
(580) 213-7494
Mailing address
71 MDG, 527 GOTT ROAD, VANCE AFB, OK 73705
(580) 213-7494
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
207R00000X
Internal Medicine Physician
ME 75062
FL
Other
Enumeration date
04/10/2006
Last updated
03/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us