L. Dizon, M.D. P.C.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

4301034833 Issued in MI

Legal business name

L. DIZON, M.D. P.C.

Practice address

20307 W 12 Mile Rd
Suite 102
Southfield, MI 48076-5407

Phone

(248) 354-3131

Fax

(248) 354-3131

NPI assigned

May 11, 2012

Last updated

May 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonides Ares Dizon, M.D.

Title

President

Phone

(248) 626-1602

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1275892176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD",
            "address_2": "SUITE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-354-3131",
            "fax_number": "248-354-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD",
            "address_2": "SUITE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-354-3131",
            "fax_number": "248-354-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. DIZON, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "LEONIDES",
        "authorized_official_middle_name": "ARES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-626-1602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301034833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.