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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY DAVID LISUZZO, PA

Active

ANTHONY DAVID LISUZZO, PA is a Physician Assistant healthcare provider located in LIBERTYVILLE, Illinois. NPI 1558771543 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LIBERTYVILLE, IL

Registration Details

NPI Number
1558771543
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2014 (12.276690371027 yrs)
Last Updated
Apr 21, 2023
Licenses
5601010096 (MI)
085-005363 (IL)

Practice Information

Address
825 S MILWAUKEE AVE
LIBERTYVILLE, IL, 600483218
Browse IL providers · Browse ZIP 60048
Phone
8476341766
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LIBERTYVILLE, IL

Name Credential NPI
IGOR YALOVETSKIY PA C 1801884283
MS. WENDY A FREDERICK PA-C 1811198690
DANA ARCHER PA-C 1598958282
MS. ELIZABETH K BARUFFI PA-C 1477749430
RON-GRAN PINEDA APILADO PA 1073779088
LAURA M IRBY PA-C 1962668590
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.