Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ANTHONY LIZAK, MD
ActiveOtolaryngic Allergy · SUPPLY, NC
Registration Details
- NPI Number
- 1790759934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2006 (20.228126125581 yrs)
- Last Updated
- Oct 14, 2011
- License
-
35760 (NC)
Practice Information
- Address
-
14 MEDICAL CENTER DRIVESUPPLY, NC, 284623350Browse NC providers · Browse ZIP 28462
- Phone
- 9107542920
- Fax
- 9107542268
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
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.