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DR. LIDIA STANA ILCUS M.D.
NPI 1811950090
Military Health Care Provider in Vance Afb, OK

Active since April 10, 2006
71 MDG, 527 GOTT ROAD, VANCE AFB, OK 73705(580) 213-7494 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2021, Oct 10, 2019 (2 updates tracked since 2019).

About Dr. Lidia Stana Ilcus M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LIDIA STANA ILCUS M.D. (NPI 1811950090) is an individual military health care provider provider in Vance Afb, Oklahoma and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1811950090
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. LIDIA STANA ILCUSCredential: M.D.
Location Address71 MDG, 527 GOTT ROADVance Afb, OK 73705
Mailing Address71 Mdg, 527 Gott RoadVance Afb, OK 73705 · (580) 213-7494
Phone(580) 213-7494
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1811950090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME 75062 (FL)
71 MDG, Vance Afb, OK 73705
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACI LYNN JOHNSON LVN
Licensed Vocational Nurse
71 MDG, 527 GOTT RD
VANCE AFB, OK 73705
Garfield County (580) 213-7909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lidia Ilcus's NPI number?

The NPI number for Lidia Ilcus is 1811950090. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Lidia Ilcus located?

Lidia Ilcus practices at 71 Mdg 527 Gott Road, Vance Afb, OK 73705. The listed phone number is (580) 213-7494.

What is Lidia Ilcus's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Lidia Ilcus was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.