DR. MARK ANTHONY LIZAK MD NPI 1790759934

NPI Information

NPI: 1790759934
Provider Name: DR. MARK ANTHONY LIZAK, MD
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

Address:
14 MEDICAL CENTER DRIVE
SUPPLY, NC
ZIP 28462
Phone: (910) 754-2920
Get Directions

DR. Mark Anthony Lizak, MD is an otology and neurotology otolaryngology in Supply, NC. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Mark Anthony Lizak, MD NPI is 1790759934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 MEDICAL CENTER DRIVE
SUPPLY, NC
ZIP 28462-350
Phone: (910) 754-2920
Fax: (910) 754-2268

The enumeration date for this NPI number is 2/15/2006 and was last updated on 10/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0901X	Otolaryngology	Otology & Neurotology	35760	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2327682	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	0295N	OTHER	NORTH CAROLINA	BCBS
3	F20475	MEDICARE UPIN
4	8952324	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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