Individual
ISAIAS E. MELO-LIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6905 KNIGHTDALE BLVD STE 106, KNIGHTDALE, NC 27545-6506
(919) 261-8760
(919) 261-8765
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9600820
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904314
—
NC
01
—
9600820
NORTH CAROLINA MEDICAL BOARD LICENSE
NC
Enumeration date
07/14/2006
Last updated
03/07/2023
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