MEDICARE: LIZA A. ARCEO MD

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
1	207L00000X	Anesthesiology Physician	17975	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730149220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZA A. ARCEO MD

Provider Business Mailing Address
First Line	:	2157 GREENBRIER ST
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-9623
Country	:	US
Telephone Number	:	304-546-0176
Fax Number	:

Provider Business Practice Location Address
First Line	:	2157 GREENBRIER ST
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-9623
Country	:	US
Telephone Number	:	304-546-0176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	01/14/2014

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