Organization
FLORENCIO T. LIZAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE SA LIZAMA (CLINIC MANAGER)
(671) 477-4215
Entity
Organization
Contact information
Practice address
177 CHALAN PASAHERU STE C, TAMUNING, GU 96913-4161
(671) 647-6201
(671) 649-4507
Mailing address
PO BOX 3431, HAGATNA, GU 96932-3431
(671) 477-4215
(671) 477-4215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MOOO938
GU
Other
Enumeration date
01/21/2007
Last updated
02/19/2008
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