Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 036.145256 | IL |
NPI | 1245519487 |
---|---|
Provider Name | Dr. Lymarie Cristina Rosado Barreras |
First Address | Urbana, IL 61801-2529 |
Second Address | Urbana, IL 61801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2011 |
Last Update Date | 20/09/2018 |