Lawrence Steven Lizzack D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI00944300 Issued in NJ

Legal business name

LAWRENCE STEVEN LIZZACK D.M.D., P.A.

Practice address

17-10 River Rd
4B
Fair Lawn, NJ 07410-1252

Phone

(201) 797-7774

Fax

(201) 797-0740

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence Steven Lizzack, D.M.D.

Title

President

Phone

(201) 797-7774

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Howard Lizzack, D.M.D.

  • General Practice Dentistry
  • Fair Lawn, NJ
  • NPI 1407912538
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043439227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD",
            "address_2": "4B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101252",
            "telephone_number": "201-797-7774",
            "fax_number": "201-797-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD",
            "address_2": "4B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101252",
            "telephone_number": "201-797-7774",
            "fax_number": "201-797-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE STEVEN LIZZACK D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIZZACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-797-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00944300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lionel Y Latouche, LCSW
• Kristen Lauber, LSW
• Laura Elia Professional Surgical Sevices
• Ana Cristina Laureano, M.D.
• Lawrence J Berman MD LLC
• Catherine Lawrence, LAC
• Zev Lazarus, D.M.D
• Learn Through Play ABA LLC
• Ann Lee
• Grace Lee

• General Practice Dentistry in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.