Individual
DR. LUCIANO LIZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Contact information
Practice address
4830 INNISBROOK CT APT 1003, MYRTLE BEACH, SC 29579-6609
(610) 896-8580
Mailing address
4830 INNISBROOK CT APT 1003, MYRTLE BEACH, SC 29579-6609
(610) 896-8580
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD026410E
PA
Other
Enumeration date
12/06/2006
Last updated
01/27/2023
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