Provider Demographics
NPI:1992704373
Name:ZAPATA-DE PEREZ, NORMA LIZETTE (MD)
Entity type:Individual
Prefix:DR
First Name:NORMA
Middle Name:LIZETTE
Last Name:ZAPATA-DE PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7174
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22106-7174
Mailing Address - Country:US
Mailing Address - Phone:703-494-1388
Mailing Address - Fax:703-494-1113
Practice Address - Street 1:12800 DARBY BROOK CT
Practice Address - Street 2:
Practice Address - City:LAKE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2487
Practice Address - Country:US
Practice Address - Phone:703-494-1388
Practice Address - Fax:703-494-1113
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101230473207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA384583OtherANTHEM BLUE CROSS/BLUE SH
VA006302335Medicaid
D26680Medicare UPIN
VA006302335Medicaid