Individual
LIANETTE SOFIA LOZADA BADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 164 SECTOR EL DESVIO, BO ACHIOTE, NARANJITO, PR 00719-0515
(787) 869-1290
Mailing address
PO BOX 947, LAS PIEDRAS, PR 00771-0947
(787) 245-7616
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22476
PR
390200000X
Student in an Organized Health Care Education/Training Program
6095644
PR
Other
Enumeration date
03/02/2018
Last updated
08/10/2022
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