Individual
LISA N RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3131 N WATER ST, DECATUR, IL 62526-2472
(217) 876-5320
(217) 876-5865
Mailing address
2300 N EDWARD ST STE 6102, DECATUR, IL 62526-4163
(217) 876-2857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006450
IL
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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