Irisari, Liezl G.

Irisari, Liezl G. is an individual health care provider with primary practice located at 11107 Racetrack Rd , Berlin MD 21811-3279. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Irisari, Liezl G. can be contacted via phone (410) 208-9761.

Contact Information

Primary practice address
11107 Racetrack Rd Berlin MD 21811-3279
Phone: (410) 208-9761
Fax: (410) 208-9764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 230999 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 230999 Massachusetts

Profile Details

NPI number 1851327001
LBN Legal business name Irisari, Liezl G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jun 21st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851327001 NPPES
Massachusetts MEDICAID 110076111A

Popular Providers