Provider Demographics
NPI:1093027856
Name:DIMITRIOS LINTZERIS DO, PA
Entity Type:Organization
Organization Name:DIMITRIOS LINTZERIS DO, PA
Other - Org Name:THE LINTZERIS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:LINTZERIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-706-5920
Mailing Address - Street 1:2980 N BEVERLY GLEN CIR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1726
Mailing Address - Country:US
Mailing Address - Phone:310-474-9809
Mailing Address - Fax:
Practice Address - Street 1:1800 N FEDERAL HWY
Practice Address - Street 2:SUITE 207-8
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1034
Practice Address - Country:US
Practice Address - Phone:561-706-5920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIMITRIOS LINTZERIS DO, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-09
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site