Joan Wanda Lisak in Springfield - Cardiovascular Disease
Joan Wanda Lisak - NPI 1013942531
Joan Wanda Lisak is a Cardiovascular Disease in Springfield, Massachusetts. Joan Wanda Lisak practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Joan Wanda Lisak is 1013942531. The last update date is 2017-12-15.
Joan Wanda Lisak's current location address is Po Box 2041, Springfield, Massachusetts. You can contact this provider via phone number 4137812200 and fax number 4137812202. The mailing address for Joan Wanda Lisak is Po Box 2041, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Wanda Lisak |
|---|---|
| Address | Po Box 2041, Springfield, Massachusetts |
| Phone Number | 4137812200 |
| Fax Number | 4137812202 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013942531 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2017-12-15 |
Provider Mailing Address Detail
| Address | Po Box 2041 |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 11012041 |
| Phone Number | 4137812200 |
| Fax Number | 4137812202 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 57480 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3089428 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Joan Wanda Lisak by the Centers for Medicare & Medicaid Services?
The Joan Wanda Lisak has been assigned the NPI (National Provider Identifier) 1013942531. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Joan Wanda Lisak?
The Joan Wanda Lisak is situated at Po Box 2041, in the city of Springfield, state of MA, with the zip code 11012041.
What is the area of specialization for Joan Wanda Lisak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Joan Wanda Lisak is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013942531 to Joan Wanda Lisak?
The Centers for Medicare & Medicaid Services assigned the 1013942531 to Joan Wanda Lisak on 2006-07-12.
As of what date were the details related to Joan Wanda Lisak most recently updated or revised?
The information pertaining to Joan Wanda Lisak, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-15.
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN