Maryann Lisak is a Pediatrics in Burlington, Vermont. Maryann Lisak practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Maryann Lisak is 1790732899. The last update date is 2021-07-20.
Maryann Lisak's current location address is 128 Lakeside Ave, Burlington, Vermont. You can contact this provider via phone number 8028601928. The mailing address for Maryann Lisak is 128 Lakeside Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maryann Lisak |
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Address | 128 Lakeside Ave, Burlington, Vermont |
Phone Number | 8028601928 |
Fax Number | |
Sole Proprietor | Y |
Credentials | RN, MS, PN |
NPI Number Detail
NPI Number | 1790732899 |
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Provider Enumeration Date | 2006-05-27 |
Last Updated Date | 2021-07-20 |
Provider Mailing Address Detail
Address | 128 Lakeside Ave |
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City | Burlington |
State | Vermont (VT) |
Post Code | 54014939 |
Phone Number | 8028601928 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 363Lp0200X |
Licence No | 1010019912 |
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6703781 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Maryann Lisak by the Centers for Medicare & Medicaid Services (CMS)?
The Maryann Lisak has been assigned the NPI (National Provider Identifier) 1790732899. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Maryann Lisak?
The Maryann Lisak is situated at 128 Lakeside Ave, in the city of Burlington, state of VT, with the zip code 54014939.
What is Maryann Lisak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Maryann Lisak is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Maryann Lisak receive its 1790732899 assignment from the Centers for Medicare & Medicaid Services?
The Maryann Lisak was assigned its 1790732899 by the Centers for Medicare & Medicaid Services on 2006-05-27.
When was the information regarding Maryann Lisak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Maryann Lisak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-07-20.
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