person
Lizar Ace Mangio
Student in an Organized Health Care Education/Training Program in Rockford, Illinois
NPI 1598450306

Lizar Ace Mangio is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Lizar Ace Mangio practices in Rockford, IL. The NPI Number for Lizar Ace Mangio is 1598450306 and holds a License No. (Illinois).

The current practice location address for Lizar Ace Mangio is 8201 E Riverside Blvd, Rockford, IL and can be reached out via phone at 815-971-6364.

Location: 8201 E Riverside Blvd, Rockford, IL, 60634-4839
person
Provider Profile Details
NPI Number
1598450306
Provider Name
Lizar Ace Mangio
Credential
Provider Entity Type
Individual
Gender
Male
Address
8201 E Riverside Blvd, Rockford, IL, 60634-4839
Phone Number
815-971-6364
Fax Number
Provider Enumeration Date
04/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8201 E Riverside Blvd
City
State
Zip
61114-2300
Phone Number
815-971-6364
Fax Number
person
Provider Business Mailing Address Details
Address
8201 E Riverside Blvd
City
State
Zip
61114-2300
Phone Number
815-971-6364
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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