Provider Demographics
NPI:1174737316
Name:ALPIZAR, LISET
Entity type:Individual
Prefix:MRS
First Name:LISET
Middle Name:
Last Name:ALPIZAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5248
Mailing Address - Country:US
Mailing Address - Phone:239-261-8033
Mailing Address - Fax:239-261-6432
Practice Address - Street 1:1250 TAMIAMI TRL N
Practice Address - Street 2:SUITE 208
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5248
Practice Address - Country:US
Practice Address - Phone:239-261-8033
Practice Address - Fax:239-261-6432
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0449-9258-19OtherSTATE FARM INSURANCE
FL794-5351OtherATTNE INSURANCE
FLC-1229OtherBLUE CROSS BLUE SHIELD