Individual
DAN ANDREW LIZARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 LAUREL OAK RD, VOORHEES, NJ 08043-4363
(856) 679-2200
Mailing address
173 ALEKSANDER LN, MOUNT ROYAL, NJ 08061-1067
(856) 332-9357
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
-
—
NJ
Enumeration date
05/20/2022
Last updated
05/20/2022
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