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Dr. Mark Anthony Lizak, MD
Otology & Neurotology Physician in Supply, North Carolina
NPI 1790759934

Mark Anthony Lizak is a Otology & Neurotology Physician based in Supply, NC and is specialized in Otology & Neurotology. Mark Anthony Lizak practices in Supply, NC and has the professional credentials of MD. The NPI Number for Mark Anthony Lizak is 1790759934 and holds a License No. 35760 (North Carolina).

The current practice location address for Mark Anthony Lizak is 14 Medical Center Drive, Supply, NC and can be reached out via phone at 910-754-2920 and via fax at 910-754-2268.

Location: 14 Medical Center Drive, Supply, NC, 28462-3350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790759934
Provider Name
Mark Anthony Lizak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14 Medical Center Drive, Supply, NC, 28462-3350
Phone Number
910-754-2920
Fax Number
910-754-2268
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0295N 01 NC BCBS
8952324 05 NC
institution
Provider Business Practice Location Address Details
Address
14 Medical Center Drive
City
Supply
State
North Carolina
Zip
28462-3350
Phone Number
910-754-2920
Fax Number
910-754-2268
person
Provider Business Mailing Address Details
Address
14 Medical Center Drive
City
Supply
State
North Carolina
Zip
28462-3350
Phone Number
910-754-2920
Fax Number
910-754-2268
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
License No.
35760 (North Carolina)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
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