Michelle Lizardi Rivera O.D.

NPI 1043434533 - Optometrist - 152W00000X

NPI Details
NPI 1043434533
Gender Female
Enumeration Date 04/13/2007
Last Updated 08/17/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
7205 BONNEVAL RD
JACKSONVILLE FL, 32256-7565, US
Phone (904) 296-0098
Fax
Business Location
7205 BONNEVAL RD
JACKSONVILLE FL, 32256-7565, US
Phone (904) 296-0098
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number 4168
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According to our database, Dr. Michelle Lizardi Rivera O.D. NPI is 1043434533, taxonomy code is 152W00000X and license number is 4168, license state is located at Florida. Michelle Lizardi Rivera O.D. physically located at 7205 Bonneval Rd, Jacksonville FL, 32256-7565. NPI Number Michelle Lizardi Rivera O.D. has the Individual type.

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1043434533 NPI number is provided on an as is basis without warranty of any kind. 1043434533 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Lizardi Rivera O.D. are for informational purposes only.