Individual
DWAYNE LIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1740 LA COSTA MEADOWS DR, SUITE 144, SAN MARCOS, CA 92078-5199
(951) 970-1194
Mailing address
39873 MOUNT BLANC AVE, MURRIETA, CA 92562-4797
(951) 970-1194
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU 648
CA
235Z00000X
Speech-Language Pathologist
Primary
SP 4188
CA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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