| Doctor Name: | LIEZL G. IRISARI |
| NPI Number: | 1851327001 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 230999 |
| Business Practice Address: | 11107 Racetrack Rd Berlin, MD - 218113279 |
| Business Phone Number: | 4102089761 |
| Business Fax Number: | 4102089764 |
| Mailing Address: | 10026 Old Ocean City Blvd, Building #1 BERLIN |
| State: | MD |
| Postal Code: | 218111288 |
| Phone Number: | 4106419450 |
| Fax Number: | 4106419515 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 230999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |