Organization · Type 2 NPI

Dr. Lisa Liceaga, LLC

Medical Specialty Clinic/Center · Altamonte Springs, FL

NPI number 1447944830 Active

Practice location

831 S State Road 434
Altamonte Springs, FL 32714-3502

Call (407) 587-8600 Map

Mailing address

12386 State Road 535 # 105
Orlando, FL 32836-6701

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

16 other providers at this address

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About NPI 1447944830

Dr. Lisa Liceaga, LLC's National Provider Identifier is 1447944830, issued on Jun 7, 2023. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Altamonte Springs, FL. The record was last updated on Jun 7, 2023.