MARK LAVIZZO

URBANA, IL
NPI1326198508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036104899)
Enumeration Date2007-01-11
Last Update Date2014-08-25
Business Address
-- MARK LAVIZZO MD
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-3319
Mailing Address
-- MARK LAVIZZO MD
611 W PARK ST BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792