Basic Information
| Provider Information | |||||||||
| NPI: | 1285617027 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KIZILAY | ||||||||
| FirstName: | LERZAN | ||||||||
| MiddleName: | S. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 ANGIER CIR | ||||||||
| Address2: | |||||||||
| City: | AUBURNDALE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024662901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179161069 | ||||||||
| FaxNumber: | 6172347981 | ||||||||
| Practice Location | |||||||||
| Address1: | YOUVILLE HOSPITAL | ||||||||
| Address2: | 1575 CAMBRIDGE ST | ||||||||
| City: | CAMBRIDGE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021384398 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178764344 | ||||||||
| FaxNumber: | 6172347981 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 79533 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.