Lizer, Robert Allan

Lizer, Robert Allan is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 412, Peoria IL 61614-5098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lizer, Robert Allan can be contacted via phone (309) 692-4375.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 412 Peoria IL 61614-5098
Phone: (309) 692-4375
Fax: (309) 692-9820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036094218 Illinois

Profile Details

NPI number 1184624280
LBN Legal business name Lizer, Robert Allan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Apr 17th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184624280 NPPES
Illinois MEDICAID 036094218

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