MEDICARE: DR. LILIANA JUSTINA TORRES-POPP 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
1	208200000X	Plastic Surgery Physician	01035014	IN

General Provider Information

NPI Number	:	1205846946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILIANA JUSTINA TORRES-POPP M.D.

Provider Business Mailing Address
First Line	:	1120 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3702
Country	:	US
Telephone Number	:	812-282-3060
Fax Number	:	812-288-2418

Provider Business Practice Location Address
First Line	:	1120 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3702
Country	:	US
Telephone Number	:	812-282-3060
Fax Number	:	812-288-2418

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/09/2007

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