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Contact Information

MARK A LIZAK, MD
14 MEDICAL CENTER DRIVE
SUPPLY, NC28462-3350
 Phone: 910-754-2920
 Fax: 910-754-2268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MARK A LIZAK · (Male)

NPI # 1790759934
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 10/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 35760
  • NC Medicaid 8952324
  • NC Other 0295N BCBS
Hospital affiliation(s)
  • BRUNSWICK COMMUNITY HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DR PO BOX 139
    SUPPLY, NC 28462
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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