Doctor Name: | LISA DENISE FLORES |
NPI Number: | 1124104195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | M001424 |
Business Practice Address: | Guam Seventh-day Adventist Clinic 388 Ypao Rd. Tamuning, GU - 96913 |
Business Phone Number: | 6716468881 |
Business Fax Number: | 6716482557 |
Mailing Address: | Guam Seventh-day Adventist Clinic, 388 Ypao Rd. TAMUNING |
State: | GU |
Postal Code: | 96913 |
Phone Number: | 6716468881 |
Fax Number: | 6716482557 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | M001424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |