Mark Anthony Lizak in Supply - Otology & Neurotology
Mark Anthony Lizak - NPI 1790759934
Mark Anthony Lizak is a Otology & Neurotology in Supply, North Carolina. Mark Anthony Lizak practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Mark Anthony Lizak is 1790759934. The last update date is 2011-10-14.
Mark Anthony Lizak's current location address is 14 Medical Center Drive, Supply, North Carolina. You can contact this provider via phone number 9107542920 and fax number 9107542268. The mailing address for Mark Anthony Lizak is 14 Medical Center Drive, Supply, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Lizak |
|---|---|
| Address | 14 Medical Center Drive, Supply, North Carolina |
| Phone Number | 9107542920 |
| Fax Number | 9107542268 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790759934 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2011-10-14 |
Provider Mailing Address Detail
| Address | 14 Medical Center Drive |
|---|---|
| City | Supply |
| State | North Carolina (NC) |
| Post Code | 284623350 |
| Phone Number | 9107542920 |
| Fax Number | 9107542268 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | 35760 |
|
Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0295N | NC | BCBS | |
| 8952324 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Anthony Lizak?
The Mark Anthony Lizak has been issued the NPI (National Provider Identifier) 1790759934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mark Anthony Lizak is physically located?
The Mark Anthony Lizak is situated at the following address: 14 Medical Center Drive, Supply, NC 284623350.
What is Mark Anthony Lizak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Anthony Lizak is Otology & Neurotology, and the taxonomy classification code that categorizes this area of expertise is 207Yx0901X.
When did Mark Anthony Lizak receive its 1790759934 assignment?
The Mark Anthony Lizak was assigned its 1790759934 on 2006-02-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mark Anthony Lizak most recently updated or revised?
The information pertaining to Mark Anthony Lizak, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-14.