Lizarzaburu, Jesus L.
Lizarzaburu, Jesus L. is an individual health care provider with primary practice located at 222 Grafton Dr , Yorktown VA 23692-2152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lizarzaburu, Jesus L. can be contacted via phone (757) 898-7737.Contact Information
Primary practice address
222 Grafton Dr
Yorktown VA 23692-2152
Phone: (757) 898-7737
Fax: (757) 898-8377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101102625 | Virginia |
Profile Details
| NPI number | 1861490682 |
|---|---|
| LBN Legal business name | Lizarzaburu, Jesus L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 7th, 2020 - about 6 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 | 1861490682 | NPPES |
| Virginia | Other | 080007665 | RR MEDICARE |
| Virginia | MEDICAID | 5614180 | RR MEDICARE |
| Virginia | Other | 318662 | RR MEDICARE |
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