Provider Demographics
NPI:1750483012
Name:RIZZO, FRANK JOHN (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:RIZZO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 N 83RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2080
Mailing Address - Country:US
Mailing Address - Phone:402-486-1945
Mailing Address - Fax:402-483-5372
Practice Address - Street 1:1150 N 83RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2080
Practice Address - Country:US
Practice Address - Phone:402-486-1945
Practice Address - Fax:402-483-5372
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE196213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
02503OtherBCBS
NE47070199400Medicaid
091260Medicare ID - Type Unspecified
02503OtherBCBS