Lynn M. Sulander Lizakowski, C.O.T.A.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

201263 Issued in MN

Practice address

7540 N 19TH Ave
Phoenix, AZ 85021-7967

Phone

(888) 873-4221

Fax

(888) 543-2289

NPI assigned

Sep 9, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189296000000",
    "number": "1205021615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BALLANTYNE LN NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321957",
            "telephone_number": "763-792-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217967",
            "telephone_number": "888-873-4221",
            "fax_number": "888-543-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZAKOWSKI",
        "first_name": "LYNN",
        "middle_name": "M. SULANDER",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "201263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Legend Care LLC
• Berkeley Paige Livingston, PHARMD
• Connor Livingston, CRNA
• Kimberly Ann Livingston, MS, CCC-SLP
• Liz Parker-Johnson, Ma, LPC, NCC
• Naomi Lizama
• Maria G Lizanec, RN
• Danny Lizano, PA-C
• Jaqueline Lizarraga
• Tawny Lizarraga

• Occupational Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapy Assistant in Arizona

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