NPI Profile for LILIYA GUMENIK in FORT BRAGG, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI Number | 1457647661 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/27/2011 | |
| Last updated | 07/15/2025 - About 11 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LILIYA GUMENIK
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