Luz Evangeline S Dizon Md Pc

LBN: Luz Evangeline S Dizon Md Pc
Luz Evangeline S Dizon Md Pc is an health care organization with primary practice located at 235 N Pearl St , Brockton MA 02301-1794. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Luz Evangeline S Dizon Md Pc can be contacted via phone (508) 427-2525, or through Dizon, Luz E via phone (508) 898-8650.

Contact Information

Primary practice address
235 N Pearl St Brockton MA 02301-1794
Phone: (508) 427-2525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dizon, Luz E
Phone: (508) 898-8650

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 81052 Massachusetts

Profile Details

NPI number 1700935988
LBN Legal business name Luz Evangeline S Dizon Md Pc
DBA Doing business as
Authorized official Dizon, Luz E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 18th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700935988 NPPES
Massachusetts Other M19352 BLUE SHIELD
Massachusetts MEDICAID 9774670 BLUE SHIELD

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