Lizar Ace Mangio
Lizar Ace Mangio is a Student in an Organized Health Care Education/Training Program in Rockford, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
8201 E Riverside BlvdRockford, IL 61114-2300
Phone: (815) 971-6364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5970 Churchview Dr, Rockford, IL 61107-2574 — (815) 971-6364
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1598450306 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 7, 2023 |
| Last updated in NPPES | April 7, 2023 |
| Certification date | April 6, 2023 |
| Mailing address | 6964 W Oakdale Ave, Chicago, IL 60634-4839 |
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