RAUL LIZASO DMD NPI 1912005778

NPI Information

NPI: 1912005778
Provider Name: RAUL LIZASO, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
20170 PINES BLVD
SUITE 108
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 430-1717
Get Directions

Raul Lizaso, DMD is a general practice dentist in Pembroke Pines, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Raul Lizaso, DMD NPI is 1912005778. 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:

20170 PINES BLVD
SUITE 108
PEMBROKE PINES, FL
ZIP 33029-202
Phone: (954) 430-1717
Fax: (954) 430-3049

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

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	1223G0001X	Dentist	General Practice	DN0014196	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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