Liza De Olazo Banaag, M. D., P. A.
Liza De Olazo Banaag, M. D., P. A. is an Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
965 J K Avent Dr Ste 100-AGrenada, MS 38901-5045
Phone: (662) 227-7446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (primary) | Taxonomy 2083P0011X · Licence 19748 (MS) |
|---|
Record details
| NPI number | 1558497040 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Liza Banaag — Owner · (832) 646-5492 |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | January 25, 2008 |
| Mailing address | Po Box 2329, Grenada, MS 38902-2329 |