Dr. Lillian Kim Ivansco, MD, MPH
Dr. Lillian Kim Ivansco, MD, MPH is a Diagnostic Radiology in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2008, 18 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Colorado, Georgia, Hawaii and Kansas and 1 more.
- Years since qualifying
- 18
- Trained at
- Emory University School of Medicine
- Licensed in
- CO, GA, HI, KS, NE
- In the registry since
- 2008
- Specialties on file
- 5
What do these letters mean?
Practice location Address checks out
20 Glenlake PkwyAtlanta, GA 30328-3473
Phone: (404) 364-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 069869 (GA) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence MD17668 (HI) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 04-37114 (KS) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 27713 (NE) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 53370 (CO) |
Record details
| NPI number | 1043478605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD , MPH |
| Sole proprietor | No |
| NPI enumerated | May 29, 2008 |
| Last updated in NPPES | January 10, 2022 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2008 (18 years in practice) |
| Group practice | The Southeast Permanente Medical Group — 826 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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