Luciano Lizzi, M.D., J.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD026410E Issued in PA

Practice address

4830 Innisbrook CT Apt 1003
Myrtle Beach, SC 29579-6609

Phone

(610) 896-8580

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Juris Doctor, Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: llizzi57965@direct.peacehealth.org

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1225197452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 INNISBROOK CT APT 1003",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796609",
            "telephone_number": "610-896-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 INNISBROOK CT APT 1003",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796609",
            "telephone_number": "610-896-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZZI",
        "first_name": "LUCIANO",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD026410E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Locklear, MD
• Margaret M Lohr, PT

• Psychiatry Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.