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1497043665
LIZETTE KRISTINE FERNANDO LOPEZ
STATEN ISLAND, NY
NPI
1497043665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-07-21
Last Update Date
2011-08-04
Business Address
Dr. LIZETTE KRISTINE FERNANDO LOPEZ M.D.
355 BARD AVENUE RESIDENTS' HALL APARTMENT 4M
STATEN ISLAND, NY 10310
Phone number: 646-884-0625
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Mailing Address
Dr. LIZETTE KRISTINE FERNANDO LOPEZ M.D.
355 BARD AVENUE RESIDENTS' HALL APARTMENT 4M
STATEN ISLAND, NY 10310
Phone number: 646-884-0625
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