Provider Demographics
NPI:1396935862
Name:ELIDO-FLORENDO, LIZA MAY LABAY (MD)
Entity type:Individual
Prefix:DR
First Name:LIZA MAY
Middle Name:LABAY
Last Name:ELIDO-FLORENDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LIZA MAY
Other - Middle Name:LABAY
Other - Last Name:ELIDO-FLORENDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:659 S CENTRAL VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-2790
Mailing Address - Country:US
Mailing Address - Phone:661-459-1912
Mailing Address - Fax:
Practice Address - Street 1:659 S CENTRAL VALLEY HWY
Practice Address - Street 2:
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263-2790
Practice Address - Country:US
Practice Address - Phone:661-459-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 100877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine