Individual
LILIA LIZAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 WESCOTT AVE, SUGARLAND, TX 77479
(281) 329-4300
Mailing address
11602 GREEN GLADE DR, HOUSTON, TX 77099-3316
(713) 269-4361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212681
COMMERCIAL INSURANCE
TX
Enumeration date
09/20/2018
Last updated
09/20/2018
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