# DAVID E LIZOTTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598826299
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0110002429 | VA | — |
| 363A00000X | Physician Assistant | PA1882 | KY | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 11/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0110002429 | PA LICENSE | VA |
| 01 | — | 1027307 | NCCPA CERTIFICATION \# | — |
| 05 | — | 1598826299 | — | VA |