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NPI Code Detail

MEDICARE: LIZBETH QUIROZ

MEDICARE:   LIZBETH  QUIROZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor

General Provider Information

NPI Number : 1174270631
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZBETH QUIROZ
Provider Business Mailing Address
First Line : 5429 HIGHLAND DR SE
Second Line :
City : AUBURN
State : WA
Zip : 98092-8798
Country : US
Telephone Number : 760-790-8342
Fax Number :
Provider Business Practice Location Address
First Line : 5429 HIGHLAND DR SE
Second Line :
City : AUBURN
State : WA
Zip : 98092-8798
Country : US
Telephone Number : 760-790-8342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2022
Last Update Date : 03/04/2022

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Directions to “ LIZBETH QUIROZ ” Practice Location

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