| Mary Ann Lillig, D.o. | |
|
14583 Granada Cir Leawood KS 66224-3701 | |
| (816) 668-4297 | |
| (913) 239-8702 |
| Full Name | Mary Ann Lillig, D.o. |
|---|---|
| Speciality | Internal Medicine |
| Location | 14583 Granada Cir, Leawood, Kansas |
| Authorized Official Name and Position | Mary Ann Lillig (PRESIDENT) |
| Authorized Official Contact | 8166684297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Lillig, D.o. Po Box 419429 Kansas City MO 64141-6429 Ph: (913) 248-9693 | Mary Ann Lillig, D.o. 14583 Granada Cir Leawood KS 66224-3701 Ph: (816) 668-4297 |
| NPI Number | 1932157799 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932157799 | NPI | - | NPPES |
| 36947011 | Other | MO | BLUE SHIELD KC, MO |
| DD4155 | Other | KS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1999-135-661 (Missouri) | Primary |
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