Lavizzo, Mark

Lavizzo, Mark is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lavizzo, Mark can be contacted via phone (217) 383-3319.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2500
Phone: (217) 383-3319
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036104899 Illinois

Profile Details

NPI number 1326198508
LBN Legal business name Lavizzo, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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