Search › Georgia › 2085R0202X
Lillian Ivansco, M.D., M.P.H
NPI 1043478605 · on the registry since 2008
Practice
- Address
- 20 Glenlake Pkwy
Atlanta, GA 30328 - Phone
- (404) 364-7285
- Organisation at this address
- Kaiser Foundation Health Plan Of Georgia, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 117
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
2085R0202X
2085R0202X
2085R0202X - Licence states on file
- HI, KS, NE, CO, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia