Lizbeth Sison Vicencio-Regner, MD

NPI #1962622126 in Montclair, California

Provider Information

NPI Number: 1962622126
Entity Type: Individual
Name: Lizbeth Sison Vicencio-Regner, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Apr 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5145 CLAIR ST
City: Montclair
State: California
ZIP Code: 91763
Phone: (909) 591-2687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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