Individual
DR. DIANA E LIZARDO-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 HIGHLAND OAKS DR, STE 202, WINSTON-SALEM, NC 27103-7106
(336) 760-0070
(336) 760-0017
Mailing address
755 HIGHLAND OAKS DR, STE 202, WINSTON-SALEM, NC 27103-7106
(336) 760-0070
(336) 760-0017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1389U
BLUE CROSS BLUE SHIELD
NC
Enumeration date
05/04/2006
Last updated
07/08/2007
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