Individual
DR. RAPHAEL ALEXANDER LIZCANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF MEDICINE, LEBANON, NH 03756-1000
(603) 653-9500
Mailing address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF MEDICINE, LEBANON, NH 03756-1000
(603) 653-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17634
NH
207R00000X
Internal Medicine Physician
274396
MA
207RH0003X
Hematology & Oncology Physician
Primary
17634
NH
Other
Enumeration date
04/24/2013
Last updated
11/07/2023
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