Stephanie Quilianna Fizzard, P.A.
NPI #1114953155 in Lake Forest, California
Provider Information
- NPI Number
- 1114953155
- Entity Type
- Individual
- Name
- Stephanie Quilianna Fizzard, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Dec 17, 2014
Practice Location
- Address
- 25902 TIPPERARY LN
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-8059
- Phone
- (949) 916-2924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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