Individual provider · Type 1 NPI
Ethan Lizarraga, MD
Student in an Organized Health Care Education/Training Program · Northvale, NJ
NPI number
1225970692
Active
Practice location
131 Paris Ave
Northvale, NJ 07647-1549
Mailing address
131 Paris Ave Apt A
Northvale, NJ 07647-1550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1225970692
Ethan Lizarraga, MD's National Provider Identifier is 1225970692, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northvale, NJ. The record was last updated on Apr 7, 2026.