Liza De Olazo Banaag, M. D., P. A.
NPI #1558497040 in Grenada, Mississippi
Provider Information
- NPI Number
- 1558497040
- Entity Type
- Organization
- Organization Name
- Liza De Olazo Banaag, M. D., P. A.
- Primary Specialty
- Preventive Medicine - Undersea and Hyperbaric Medicine
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jan 25, 2008
Practice Location
- Address
- 965 J K AVENT DR
- Address 2
- SUITE 100-A
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5045
- Phone
- (662) 227-7446
Authorized Official
- Name
- DR. LIZA DE OLAZO BANAAG, MD
- Title
- OWNER
- Phone
- (832) 646-5492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Undersea and Hyperbaric Medicine — Undersea and Hyperbaric Medicine |
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