Lauren Eloise Lizardo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418398 Issued in VA

Practice address

1479 Virginia Ave
Harrisonburg, VA 22802-2433

Phone

(540) 433-4913

NPI assigned

May 18, 2023

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harrisonburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisonburg, VA
  • NPI 1477839413
  NPD
• Harrisonburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisonburg, VA
  • NPI 1871775882
  NPD (past)

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1699466797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 VIRGINIA AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 VIRGINIA AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022433",
            "telephone_number": "540-433-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO",
        "first_name": "LAUREN",
        "middle_name": "ELOISE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Crowther Liskey, PA-C
• Kathryn K Litten, EDS NCSP
• Benjamin George Little
• Kaiwen Liu, PSYD
• Annalise Livingston, LPC
• William Virgil Lizardo, DDS
• Christian John Jabay Lloce
• Mason Loar
• Jeannie M Lockinger, LPC
• Kuldeep Lohano, MD

• General Practice Dentistry in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.