Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LIDIA STANA ILCUS, M.D.
ActiveDR. LIDIA STANA ILCUS, M.D. is a Military Health Care Provider healthcare provider located in VANCE AFB, Oklahoma. NPI 1811950090 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · VANCE AFB, OK
Registration Details
- NPI Number
- 1811950090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2006 (20.380757216196 yrs)
- Last Updated
- Mar 5, 2021
- License
-
ME 75062 (FL)
Practice Information
- Address
-
71 MDG527 GOTT ROADVANCE AFB, OK, 73705Browse OK providers · Browse ZIP 73705
- Phone
- 5802137494
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- Military Health Care Provider
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.