Individual
JASON MICHAEL LIZALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST # 356410, SEATTLE, WA 98195-0001
(815) 953-2504
Mailing address
1959 NE PACIFIC ST # 356410, SEATTLE, WA 98195-0001
(815) 953-2504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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