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NPI Code Detail

MEDICARE: LILIA PRADO DO

MEDICARE:   LILIA  PRADO  DO
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
1207Q00000XFamily Medicine PhysicianDO2678NV
2207Q00000XFamily Medicine Physician20A5538CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2DO2678OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1326107954
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIA PRADO DO
Provider Business Mailing Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-216-3346
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 321 N NELLIS BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5416
Country : US
Telephone Number : 702-438-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 02/05/2025

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Directions to “ LILIA PRADO DO” Practice Location

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