DR. Lisbette Polanco, M.D.

NPI #1194724922 in Charleston, West Virginia

Provider Information

NPI Number: 1194724922
Entity Type: Individual
Name: DR. Lisbette Polanco, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 14, 2005
Last Updated: May 5, 2016

Practice Location

Address: 1907 CLARK POINTE
City: Charleston
State: West Virginia
ZIP Code: 25314
Phone: (304) 344-4761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Family Medicine	207Q00000X

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