Maresca, Lillian E
Maresca, Lillian E is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801-0160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maresca, Lillian E can be contacted via phone (541) 966-9830.Contact Information
Primary practice address
73265 Confederated Way
Pendleton OR 97801-0160
Phone: (541) 966-9830
Fax: (541) 278-7575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M6636 | Idaho |
Profile Details
| NPI number | 1144271412 |
|---|---|
| LBN Legal business name | Maresca, Lillian E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144271412 | NPPES |
| Oregon | Other | 1346283488 | TRIBAL CLINIC NPPES |
| Oregon | MEDICAID | 171037 | TRIBAL CLINIC NPPES |
| Oregon | Other | 8TA265 | TRIBAL CLINIC NPPES |
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