Individual
DR. ORLANDO ANGELO LIZARDO TALEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 731-5811
(920) 738-6293
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 731-5811
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
48388-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450030624
MEDICARE PTAN
WI
01
—
711290048
MEDICARE PTAN
WI
Enumeration date
10/12/2006
Last updated
02/05/2013
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