Individual
DR. LAWRENCE STEVEN LIZZACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
17-10 RIVER RD, FAIR LAWN, NJ 07410-1252
(201) 797-7774
Mailing address
17-10 RIVER RD, FAIR LAWN, NJ 07410-1252
(201) 797-7774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00944300
NJ
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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