Robert Lizardy's National Provider Identifier (NPI) Details
Robert Lizardy,
NPI: 1023405743
Enumeration Date: 2015-04-21
Last updated: 2023-11-07
Sole Proprietor: NO
Status: active
Postal Address: 2005 NE 17TH AVE APT 2, PORTLAND, OR
Phone: 719-680-0436
Primary Practice Address: 209 SW 4TH AVE, PORTLAND, OR
Practice's phone: 719-680-0436