Individual provider · Type 1 NPI

Lizette Kristine Fernando Lopez, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1497043665 Active

Practice location

355 Bard Avenue, Residents' Hall Apartment 4M
Staten Island, NY 10310

Call (646) 884-0625 Map

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 1497043665

Lizette Kristine Fernando Lopez, MD's National Provider Identifier is 1497043665, issued on Jul 21, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 4, 2011.