Richard E. Lizak, D.c., Pa

NPI 1194081380 - Chiropractor - 111N00000X

NPI Details
NPI 1194081380
Enumeration Date 04/02/2012
Last Updated 04/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD EDWIN RICHARD
Position CHIROPRACTOR
Phone (601) 483-6330
Fax (601) 483-6331
Practice Location
1900 23RD AVE
MERIDIAN MS, 39301-3107, US
Phone (601) 483-6330
Fax (601) 483-6331
Business Location
1900 23RD AVE
MERIDIAN MS, 39301-3107, US
Phone (601) 483-6330
Fax (601) 483-6331
Toxanomy
Taxonomy Code 111N00000X
License State Massachusetts
License Number 476
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According to our database, Richard E. Lizak, D.c., Pa NPI is 1194081380, taxonomy code is 111N00000X and license number is 476, license state is located at Massachusetts. Richard E. Lizak, D.c., Pa physically located at 1900 23rd Ave, Meridian MS, 39301-3107. NPI Number 1033115704 has the healthcare provider type.

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1194081380 NPI number is provided on an as is basis without warranty of any kind. 1194081380 is maintained by the National Plan & Provider Enumeration System. The contents of Richard E. Lizak, D.c., Pa are for informational purposes only.