DR. Jack S Lissauer, MD

NPI #1720087356 in Beachwood, Ohio

Provider Information

NPI Number
1720087356
Entity Type
Individual
Name
DR. Jack S Lissauer, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Gastroenterology
Credential
MD
Enumeration Date
Jul 15, 2005
Last Updated
Oct 24, 2007

Practice Location

Address
3700 PARK EAST DR
Address 2
SUITE 100
State
Ohio
ZIP Code
44122-4339
Phone
(216) 593-7700

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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