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Contact Information

WILLIAM A LYZAK JR, DMD
402 MARQUETTE ST
VALPARAISO, IN46383-2563
 Phone: 219-465-4008
 Fax: 219-462-0283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for WILLIAM A LYZAK JR · (Male)

NPI # 1972920965
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/27/2014
Last updated 03/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12010025A
Hospital affiliation(s) Not Available
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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