MEDICARE: LIA CAROLINA FRANCO MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1558820712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIA CAROLINA FRANCO MD

Provider Business Mailing Address
First Line	:	LEONARDO TEJADA E19A Y GONZALO ENDARA CROWN.
Second Line	:	COND. ALTAVISTA, APT. D403.
City	:	QUITO
State	:	ECUADOR
Zip	:	170503
Country	:	EC
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 TULANE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	504-988-7809
Fax Number	:	504-988-3971

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

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	03/18/2019

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