DR. Anna Lizza Lopez Siasoco, M.D.

NPI #1386614428 in Port Washington, New York

Provider Information

NPI Number: 1386614428
Entity Type: Individual
Name: DR. Anna Lizza Lopez Siasoco, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jan 23, 2006
Last Updated: Sep 12, 2014

Practice Location

Address: 415 PORT WASHINGTON BLVD
City: Port Washington
State: New York
ZIP Code: 11050-4201
Phone: (516) 883-0218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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