Individual provider · Type 1 NPI

Lisa Marie Perez

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1104174580 Active

Practice location

5030 Broadway Ste 201
New York, NY 10034-1611

Call (212) 795-9888 Map

Mailing address

1581 Park Ave Apt 10A
New York, NY 10029-1834

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104174580

Lisa Marie Perez's National Provider Identifier is 1104174580, issued on Aug 16, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Aug 16, 2012.