Melo-Lizardo, Isaias E.

Melo-Lizardo, Isaias E. is an individual health care provider with primary practice located at 6905 Knightdale Blvd Ste 106 , Knightdale NC 27545-6506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Melo-Lizardo, Isaias E. can be contacted via phone (919) 261-8760.

Contact Information

Primary practice address
6905 Knightdale Blvd Ste 106 Knightdale NC 27545-6506
Phone: (919) 261-8760
Fax: (919) 261-8765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9600820 North Carolina

Profile Details

NPI number 1477579514
LBN Legal business name Melo-Lizardo, Isaias E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 7th, 2023 - about 3 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 1477579514 NPPES
North Carolina Other 9600820 NORTH CAROLINA MEDICAL BOARD LICENSE
North Carolina MEDICAID 5904314 NORTH CAROLINA MEDICAL BOARD LICENSE

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