Individual
LIZETTE DENISE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0892
Mailing address
1229 E SUSAN DR, CARSON, CA 90745-1654
(310) 897-7073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A147989
CA
Other
Enumeration date
04/09/2013
Last updated
06/27/2017
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