LILLIAN KIM IVANSCO

ATLANTA, GA
NPI1043478605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  069869)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: HI  MD17668)
2085R0202X Radiology, Diagnostic Radiology
(Licence: KS  04-37114)
2085R0202X Radiology, Diagnostic Radiology
(Licence: NE  27713)
2085R0202X Radiology, Diagnostic Radiology
(Licence: CO  53370)
Enumeration Date2008-05-29
Last Update Date2022-01-10
Business Address
Dr. LILLIAN KIM IVANSCO M.D., M.P.H.
20 GLENLAKE PKWY
ATLANTA, GA 30328-3473
Phone number: 404-364-7285
Mailing Address
Dr. LILLIAN KIM IVANSCO M.D., M.P.H.
3495 PIEDMONT RD NE
ATLANTA, GA 30305-1717
Phone number: 404-364-7285