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Organization
LORENZO E TIZON MD
Active
Organization
LORENZO E TIZON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TIZON MD (OWNER)
(323) 877-3756
Entity
Organization
Contact information
Practice address
433 N 4TH ST, SUITE 209, MONTEBELLO, CA 90640-4311
(323) 877-3256
Mailing address
433 N 4TH ST, SUITE 209, MONTEBELLO, CA 90640-4311
(323) 877-3256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A40185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A40185
CAL MB
CA
Enumeration date
10/22/2012
Last updated
10/22/2012
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