Individual
RANDOLPH DEAN LIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10313 GEORGIA AVE, SUITE 202, SILVER SPRING, MD 20902-5006
(301) 681-9101
(301) 681-3525
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0066274
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413225400
—
MD
Enumeration date
07/23/2007
Last updated
11/02/2023
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