Rebecca Lizarraga

NPI #1275319725 in Bristow, Virginia

Provider Information

NPI Number: 1275319725
Entity Type: Individual
Name: Rebecca Lizarraga
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 31, 2023
Last Updated: Aug 31, 2023

Practice Location

Address: 10039 THREE SISTERS CT
City: Bristow
State: Virginia
ZIP Code: 20136-2631
Phone: (480) 229-2941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Specialist	174400000X	Primary

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