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Individual

WILLIAM ARTHUR LYZAK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
402 MARQUETTE ST, VALPARAISO, IN 46383-2563
(219) 465-4008
(219) 462-0283
Mailing address
402 MARQUETTE ST, VALPARAISO, IN 46383-2563
(219) 465-4008
(219) 462-0283

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12010025A
IN

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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