Individual
LILIYA SLUTSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1550 DOCTORS DR, SUITE300, LAGRANGE, GA 30240-4140
(706) 884-2686
(706) 812-0468
Mailing address
1550 DOCTORS DR, SUITE300, LAGRANGE, GA 30240-4140
(706) 884-2686
(706) 812-0468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
056487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602481657A
—
GA
Enumeration date
08/31/2006
Last updated
07/08/2007
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