DR. Lisa Diane Macek, M.D.

NPI #1245521889 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1245521889
Entity Type: Individual
Name: DR. Lisa Diane Macek, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 1, 2011
Last Updated: Jul 30, 2014

Practice Location

Address: 2950 S ELM PL
Address 2: SUITE 160
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-7877
Phone: (918) 449-3750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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