DR. Lissette P.g. Maduro, M.D.

NPI #1073533501 in Chester, South Carolina

Provider Information

NPI Number: 1073533501
Entity Type: Individual
Name: DR. Lissette P.g. Maduro, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 20, 2006
Last Updated: Feb 10, 2010

Practice Location

Address: 102 CESTRAIN SQ
City: Chester
State: South Carolina
ZIP Code: 29706-1978
Phone: (803) 581-0574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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