Provider Demographics
NPI:1225783558
Name:LIZARRAGA, KAREN (PA-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LIZARRAGA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9715 LEATHERFERN TER APT B
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-6338
Mailing Address - Country:US
Mailing Address - Phone:240-447-5645
Mailing Address - Fax:
Practice Address - Street 1:9715 LEATHERFERN TER APT B
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20886-6338
Practice Address - Country:US
Practice Address - Phone:240-447-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant