DR. John Lisiak JR., D.O.

NPI #1194868091 in Clarks Summit, Pennsylvania

Provider Information

NPI Number: 1194868091
Entity Type: Individual
Name: DR. John Lisiak JR., D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Feb 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 611 MORGAN HWY
City: Clarks Summit
State: Pennsylvania
ZIP Code: 18411-9128
Phone: (570) 585-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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