Earl H Lizotte JR. OD

NPI 1003875204 - Optometrist - 152W00000X

NPI Details
NPI 1003875204
Gender Male
Enumeration Date 03/17/2006
Last Updated 12/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
176 MAIN ST
EASTHAMPTON MA, 01027, US
Phone (413) 527-4881
Fax (413) 527-4892
Business Location
176 MAIN ST
EASTHAMPTON MA, 01027, US
Phone (413) 527-4881
Fax (413) 527-4892
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 2057
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According to our database, Dr. Earl H Lizotte JR. OD NPI is 1003875204, taxonomy code is 152W00000X and license number is 2057, license state is located at Massachusetts. Earl H Lizotte JR. OD physically located at 176 Main St, Easthampton MA, 01027. NPI Number Earl H Lizotte JR. OD has the Individual type.

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1003875204 NPI number is provided on an as is basis without warranty of any kind. 1003875204 is maintained by the National Plan & Provider Enumeration System. The contents of Earl H Lizotte JR. OD are for informational purposes only.