Provider Demographics
NPI:1982750121
Name:LIZARRARAS, ALBERT WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:WILLIAM
Last Name:LIZARRARAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:31561 TABLE ROCK DR
Mailing Address - Street 2:#309
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-8329
Mailing Address - Country:US
Mailing Address - Phone:949-499-5131
Mailing Address - Fax:949-499-5131
Practice Address - Street 1:9900 GENESEE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1210
Practice Address - Country:US
Practice Address - Phone:858-643-5650
Practice Address - Fax:858-643-5660
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG11341207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery