Individual
DR. JAY PAUL LIZYNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
655 W 13 MILE RD, MADISON HEIGHTS, MI 48071-1844
(248) 577-3659
(248) 588-9320
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3226
(313) 916-8132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
L698050
MI
Other
Enumeration date
07/13/2006
Last updated
03/11/2014
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