Violeta Marina Lizano, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD042939E Issued in PA

Practice address

201 Smallacombe Dr
Scranton, PA 18508-2616

Phone

(570) 961-0171

Fax

(570) 207-2411

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: violeta.lizano@directaddress.net

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164583613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SMALLACOMBE DR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082616",
            "telephone_number": "570-961-0171",
            "fax_number": "570-207-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SMALLACOMBE DR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082616",
            "telephone_number": "570-961-0171",
            "fax_number": "570-207-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZANO",
        "first_name": "VIOLETA",
        "middle_name": "MARINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD042939E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD042939E",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011492900005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011492900007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenisha Linton
• Christine Lipisko, LMT
• Robert Liskowicz, PSY.D.
• Monty Littlejohn, MD
• Kamryn Liuzzo, PA-C
• Joseph Lobrutto
• Matthew Loecher, MD
• David L Lohin, DO
• Charlene Lombardo, RN
• Victoria Lombardo, D.M.D.

• Pediatrics Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.