Individual
MARIZA A LIRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
RT 16 ROBERT C BYRD DRIVE, CRAB ORCHARD, WV 25827
(304) 253-8336
(304) 253-8337
Mailing address
PO BOX 1602, RT 16, CRAB ORCHARD, WV 25827
(304) 253-8336
(304) 253-8337
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12066
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130871000
—
WV
Enumeration date
09/06/2006
Last updated
07/08/2007
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