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Organization
LAWRENCE STEVEN LIZZACK D.M.D., P.A.
Active
Organization
LAWRENCE STEVEN LIZZACK D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE STEVEN LIZZACK D.M.D. (PRESIDENT)
(201) 797-7774
Entity
Organization
Contact information
Practice address
17-10 RIVER RD, 4B, FAIR LAWN, NJ 07410-1252
(201) 797-7774
(201) 797-0740
Mailing address
17-10 RIVER RD, 4B, FAIR LAWN, NJ 07410-1252
(201) 797-7774
(201) 797-0740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00944300
NJ
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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