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NPI Code Detail

MEDICARE: DR. MARIA LOURDES C AUSTRIA M.D.

MEDICARE:  DR. MARIA LOURDES C AUSTRIA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician200100118NC
2208000000XPediatrics PhysicianD0052377MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063538585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA LOURDES C AUSTRIA M.D.
Provider Business Mailing Address
First Line : 509 OLDE WATERFORD WAY
Second Line : SUITE 203
City : LELAND
State : NC
Zip : 28451-4125
Country : US
Telephone Number : 910-383-3883
Fax Number : 910-383-6802
Provider Business Practice Location Address
First Line : 509 OLDE WATERFORD WAY
Second Line : SUITE 203
City : LELAND
State : NC
Zip : 28451-4125
Country : US
Telephone Number : 910-383-3883
Fax Number : 910-383-6802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 05/23/2008

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Directions to “ DR. MARIA LOURDES C AUSTRIA M.D.” Practice Location

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