Healthcare Provider Details

I. General information

NPI: 1750483012
Provider Name (Legal Business Name): FRANK JOHN RIZZO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 05/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 83RD ST
LINCOLN NE
68505-2080
US

IV. Provider business mailing address

1150 N 83RD ST
LINCOLN NE
68505-2080
US

V. Phone/Fax

Practice location:
  • Phone: 402-486-1945
  • Fax: 402-483-5372
Mailing address:
  • Phone: 402-486-1945
  • Fax: 402-483-5372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number196
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: