Lawrence Steven Lizzack D.m.d., P.a.

NPI 1043439227 - Dentist - 1223G0001X

NPI Details
NPI 1043439227
Enumeration Date 04/25/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAWRENCE STEVEN LAWRENCE
Position PRESIDENT
Phone (201) 797-7774
Fax (201) 797-0740
Practice Location
17-10 RIVER RD
4B
FAIR LAWN NJ, 07410-1252, US
Phone (201) 797-7774
Fax (201) 797-0740
Business Location
17-10 RIVER RD
4B
FAIR LAWN NJ, 07410-1252, US
Phone (201) 797-7774
Fax (201) 797-0740
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 22DI00944300
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According to our database, Lawrence Steven Lizzack D.m.d., P.a. NPI is 1043439227, taxonomy code is 1223G0001X and license number is 22DI00944300, license state is located at New Jersey. Lawrence Steven Lizzack D.m.d., P.a. physically located at 17-10 River Rd, Fair Lawn NJ, 07410-1252. NPI Number 1033115704 has the healthcare provider type.

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1043439227 NPI number is provided on an as is basis without warranty of any kind. 1043439227 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence Steven Lizzack D.m.d., P.a. are for informational purposes only.