Provider Demographics
NPI:1073383329
Name:BELLO, LIZZY L
Entity Type:Individual
Prefix:
First Name:LIZZY
Middle Name:L
Last Name:BELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10738 COUNTRY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33809-4953
Mailing Address - Country:US
Mailing Address - Phone:863-249-1919
Mailing Address - Fax:
Practice Address - Street 1:10738 COUNTRY VIEW DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-4953
Practice Address - Country:US
Practice Address - Phone:863-249-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy