Individual
THOMAS W LIZOTTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1901 S WASHINGTON ST, TACOMA, WA 98405-1015
(253) 761-9255
(253) 564-7747
Mailing address
324 SUMMIT AVE, FIRCREST, WA 98466-7316
(253) 761-9255
(253) 564-7747
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000335
WA
224P00000X
Prosthetist
Primary
PS00000355
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9036963
—
WA
Enumeration date
08/14/2007
Last updated
12/10/2007
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