Individual
MR. GREGORY C LIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
15830 W TARA LN, SURPRISE, AZ 85374-7800
(602) 628-5238
Mailing address
15830 W TARA LN, SURPRISE, AZ 85374-7800
(602) 628-5238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-02131P
AZ
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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