Individual
LILIA IVETH LIZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 ALFRED NOBEL DR, SUITE 200, HERCULES, CA 94547-1838
(510) 724-4435
(510) 724-4686
Mailing address
500 ALFRED NOBEL DR, SUITE 200, HERCULES, CA 94547-1838
(510) 724-4435
(510) 724-4686
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G63124
CA
Other
Enumeration date
05/03/2006
Last updated
06/10/2010
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