Dr Lisa Liceaga, LLC
Dr Lisa Liceaga, LLC is a Medical Specialty Clinic/Center in Altamonte Springs, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
831 S State Road 434Altamonte Springs, FL 32714-3502
Phone: (407) 587-8600
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1447944830 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Liceaga — Physician · (949) 275-2718 |
| NPI enumerated | June 7, 2023 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
| Mailing address | 12386 State Road 535 # 105, Orlando, FL 32836-6701 |
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