Dela Cruz, Maria Lily Vasco

Dela Cruz, Maria Lily Vasco is an individual health care provider with primary practice located at 1310 E Davis Dr , Terre Haute IN 47802-4034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dela Cruz, Maria Lily Vasco can be contacted via phone (812) 232-7337.

Contact Information

Primary practice address
1310 E Davis Dr Terre Haute IN 47802-4034
Fax: (812) 232-7338
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01060009 Indiana

Profile Details

NPI number 1518921212
LBN Legal business name Dela Cruz, Maria Lily Vasco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Dec 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518921212 NPPES
Indiana MEDICAID 200507060

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