IndividualActive
Mark Lizak, MD
NPI 1790759934 · Otology & Neurotology Physician · Supply, NC
Provider details
- NPI number
- 1790759934
- Entity type
- Individual
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35760 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14 Medical Center Drive
Supply, NC 28462-3350
Phone: (910) 754-2920
Fax: (910) 754-2268
Approximate (ZIP-level) locationGet directions
Mailing address
14 Medical Center Drive
Supply, NC 28462-3350
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2011-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.