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NPI Code Detail

MEDICARE: ANNALISE LIZARRAGA RN

MEDICARE: ANNALISE LIZARRAGA RN
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
1163WS0200XSchool Registered Nurse95100974CA

General Provider Information

NPI Number : 1528995024
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNALISE LIZARRAGA RN
Provider Business Mailing Address
First Line : 1905 MAIN ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2705
Country : US
Telephone Number : 714-536-2514
Fax Number :
Provider Business Practice Location Address
First Line : 1905 MAIN ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2705
Country : US
Telephone Number : 714-536-2514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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