Individual
IVAN EDUARDO LIZARAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3909 ORANGE PL STE 2100, BEACHWOOD, OH 44122-8400
(216) 896-1800
(216) 896-1801
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(216) 896-1800
(216) 896-1801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125053776
IL
207Q00000X
Family Medicine Physician
Primary
35-095821
OH
Other
Enumeration date
08/28/2008
Last updated
08/11/2010
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