Judy S Lyzak, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Crown Point, Indiana. Judy S Lyzak is licensed to practice in Indiana (license number 01045230A) and her current practice location is 1201 S Main St, St Anthony Medical Center, Crown Point, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 757-6322.
NPI number for Judy S Lyzak is 1902899891 and her current mailing address is 113 E 4th St, Michigan City, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902899891.
Physician's Profile
| Full Name | Judy S Lyzak |
|---|
| Gender | Female |
|---|
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
|---|
| Location | 1201 S Main St, Crown Point, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902899891
- Provider Enumeration Date: 08/25/2005
- Last Update Date: 06/30/2011
Medical Identifiers
Medical identifiers for Judy S Lyzak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902899891 | NPI | - | NPPES |
| 351173213 | Other | IN | HFN |
| 351173213 | Other | IN | ISPAT/INLAND |
| 000000646932 | Other | IN | ANTHEM BC/BS |
| 01630255 | Other | IL | BC/BS |
| 351173213 | Other | IN | SAGAMORE |
| 82432 | Other | IN | BC/BS |
| P00829245 | Other | IN | RAILROAD MEDICARE |
| 5197928 | Other | IN | CCN |
| 8352593005 | Other | IN | CIGNA |
| 200124880A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01045230A (Indiana) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036087853 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judy S Lyzak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Judy S Lyzak, MD
113 E 4th St,
Michigan City, IN 46360-3301
Ph: (219) 873-3130 | Judy S Lyzak, MD
1201 S Main St, St Anthony Medical Center,
Crown Point, IN 46307-8481
Ph: (219) 757-6322 |
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