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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