Doctor Name: | DR. FRANCES WENDY LIZERBRAM-DALTON |
NPI Number: | 1366536351 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | G69303 |
Business Practice Address: | 5330 College Ave Suite 230 Oakland, CA - 94618 |
Business Phone Number: | 5104201860 |
Business Fax Number: | 5104201855 |
Mailing Address: | 5330 College Ave, Suite 230 OAKLAND |
State: | CA |
Postal Code: | 94618 |
Phone Number: | 5104201860 |
Fax Number: | 5104201855 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G69303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |