| Lawrence Steven Lizzack D.m.d., P.a. | |
|
17-10 River Rd 4b Fair Lawn NJ 07410-1252 | |
| (201) 797-7774 | |
| (201) 797-0740 |
| Full Name | Lawrence Steven Lizzack D.m.d., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17-10 River Rd, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Lawrence Steven Lizzack (PRESIDENT) |
| Authorized Official Contact | 2017977774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Steven Lizzack D.m.d., P.a. 17-10 River Rd 4b Fair Lawn NJ 07410-1252 Ph: (201) 797-7774 | Lawrence Steven Lizzack D.m.d., P.a. 17-10 River Rd 4b Fair Lawn NJ 07410-1252 Ph: (201) 797-7774 |
| NPI Number | 1043439227 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043439227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI00944300 (New Jersey) | Primary |
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