Individual
KELLEY LYNN LIZARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364
(928) 336-1290
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 336-1290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1908R76806
AZ
Other
Enumeration date
05/21/2018
Last updated
05/31/2018
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