Individual provider · Type 1 NPI
Marco Lizarraga, RADT
Medical Physician Assistant · Campo, CA
NPI number
1598566200
Active
Practice location
1777 Buckman Springs Rd
Campo, CA 91906-2022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1602980325 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | CMAC-8054 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1598566200
Marco Lizarraga, RADT's National Provider Identifier is 1598566200, issued on Mar 20, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Campo, CA. The record was last updated on Jun 17, 2026.