DR. Gerald T. Lisac, M.D.

NPI #1003950684 in West Linn, Oregon

Provider Information

NPI Number
1003950684
Entity Type
Individual
Name
DR. Gerald T. Lisac, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Feb 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
276 SW FOREST COVE RD
State
Oregon
ZIP Code
97068-9401
Phone
(503) 557-3679

Specialties & Taxonomy Codes

Specialty
Specialist

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