177 SUITE C CHALAN PASAHERU
TAMUNING, GU 96913 US PECOS Enrolled
Florencio Tudela Lizama
Internal Medicine Physician
- TAMUNING, GU
- Phone: (671)-647-6201
- Last Updated 6/9/2009
Overview
Florencio Tudela Lizama is a Internal Medicine Physician in the TAMUNING area and has over 38 years of experience. Florencio Tudela Lizama primary office location is at 177 SUITE C CHALAN PASAHERU and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Washington School Of Medicine and graduated 1986
Florencio Tudela Lizama is affiliated with two hospitals in the TAMUNING area, including . The NPI number is 1538220553 and the information was updated approximately 15 years ago.
Florencio Tudela Lizama is part of two medical groups, including BLUE OCEAN MEDICAL GROUP LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| M-938 | GU |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | GU | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20130802000085 |
| PECOS Individual PAC ID: | 9133110273 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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