Individual
LIDA CRISTINA TRILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2010-0298
NM
207R00000X
Internal Medicine Physician
MD2010-0298
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04909275
—
NM
Enumeration date
05/26/2006
Last updated
04/25/2012
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