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Individual

DR. EARL H LIZOTTE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
176 MAIN ST, EASTHAMPTON, MA 01027
(413) 527-4881
(413) 527-4892
Mailing address
176 MAIN ST, EASTHAMPTON, MA 01027
(413) 527-4881
(413) 527-4892

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2057
MA
152W00000X
Optometrist
Primary
MA2057
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000024532
BMC HEALTH NET PLAN
MA
01
00000314701
UNITED HEALTH CARE
05
0309702
MA
01
042349836
CIGNA HEALTH CARE
01
18888
SPECTERA
01
7262815004
CIGNA HEALTH CARE
01
782883
CONNECTICARE
01
799324
TUFTS HEALTH PLAN
01
967179
NETWORK HEALTH
MA
01
W15085
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/17/2006
Last updated
12/14/2011
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