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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861490682 NPPES
Virginia Other 080007665 RR MEDICARE
Virginia MEDICAID 5614180 RR MEDICARE
Virginia Other 318662 RR MEDICARE

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