Provider Demographics
NPI:1427121771
Name:LESPIER, IZEWSKA L (MD)
Entity type:Individual
Prefix:DR
First Name:IZEWSKA
Middle Name:L
Last Name:LESPIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 SAN VALENTIN, EL PILAR
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-285-5767
Mailing Address - Fax:
Practice Address - Street 1:134 CALLE SAN VALENTIN
Practice Address - Street 2:EL PILAR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5419
Practice Address - Country:US
Practice Address - Phone:787-285-5767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11347208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83745Medicare ID - Type Unspecified