Provider Demographics
NPI:1538385091
Name:LIZARRAGA, WILLIAM ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:LIZARRAGA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-342-5900
Mailing Address - Fax:615-342-5912
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-342-5900
Practice Address - Fax:615-342-5912
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2012-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RILP00025207R00000X
TN44341207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514024Medicare PIN