Individual
LIZEL ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4755
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003197
IL
363A00000X
Physician Assistant
Primary
2019004448
MO
363A00000X
Physician Assistant
53424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003197
LICENSE
IL
01
—
2019004448
LICENSE
MO
01
—
53424
LICENSE
CA
Enumeration date
03/13/2008
Last updated
08/08/2024
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