Lizotte, Thomas W
Lizotte, Thomas W is an individual health care provider with primary practice located at 1901 S Washington St , Tacoma WA 98405-1015. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Lizotte, Thomas W can be contacted via phone (253) 761-9255.Contact Information
Primary practice address
1901 S Washington St
Tacoma WA 98405-1015
Phone: (253) 761-9255
Fax: (253) 564-7747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | OI00000335 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | PS00000355 | Washington |
Profile Details
| NPI number | 1770775868 |
|---|---|
| LBN Legal business name | Lizotte, Thomas W |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Dec 10th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770775868 | NPPES |
| Washington | MEDICAID | 9036963 |
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