Individual provider · Type 1 NPI

Lydia Romanovna Kirillova, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1346861457 Active

Practice location

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837

Call (602) 521-5969 Map

Fax (602) 521-5987

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346861457

Lydia Romanovna Kirillova, MD's National Provider Identifier is 1346861457, issued on Apr 29, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 6, 2023.