Rizzo, Laura Anne

Rizzo, Laura Anne is an individual health care provider with primary practice located at 2315 E Southlake Blvd , Southlake TX 76092-6691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rizzo, Laura Anne can be contacted via phone (972) 342-9780.

Contact Information

Primary practice address
2315 E Southlake Blvd Southlake TX 76092-6691
Phone: (972) 342-9780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J6031 Texas

Profile Details

NPI number 1598744963
LBN Legal business name Rizzo, Laura Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Nov 2nd, 2010 - about 16 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 1598744963 NPPES
Texas Other 8B7003 BCBS
Texas Other 930114365 BCBS
Texas MEDICAID 047152602 BCBS

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