James R Lisko, M.D.
NPI #1316976012 in Gallup, New Mexico
Provider Information
- NPI Number
- 1316976012
- Entity Type
- Individual
- Name
- James R Lisko, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Oct 31, 2011
Practice Location
- Address
- 516 E. NIZHONI BLVD.
- Address 2
- BOX 1337
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-1337
- Phone
- (505) 722-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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