Active NPIIndividual providerSole proprietor

Dr. Joan W Lisak, MD

Internal Medicine, Cardiovascular Disease in Springfield, Massachusetts

NPI Number1013942531
Practice location
780 Chestnut St, Suite 20, Springfield, MA 01107-1610
Fax
413-781-2202
Last updated
December 15, 2017

Joan Wanda Lisak is an Internal Medicine, Cardiovascular Disease based in Springfield, MA. Joan Wanda Lisak practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Joan Wanda Lisak is 1013942531 and holds a License No. 57480 (MA). The current practice location address for Joan Wanda Lisak is 780 Chestnut St, Suite 20, Springfield, MA 01107-1610 and can be reached out via phone at 413-781-2200 and via fax at 413-781-2202.

Provider Profile Details

NPI Number
1013942531
Provider Name
Joan Wanda Lisak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
780 Chestnut St, Suite 20, Springfield, MA 01107-1610
Phone Number
413-781-2200
Fax Number
413-781-2202
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2006
Last Update Date
December 15, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
780 Chestnut St
Suite 20
Springfield, MA 01107-1610
Zip
01107-1610
Phone Number
413-781-2200
Fax Number
413-781-2202
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
Po Box 2041
Springfield, MA 01101-2041
City
Springfield
State
MA
Zip
01101-2041
Phone Number
413-781-2200
Fax Number
413-781-2202

License Information

License Number
57480
License State
MA
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Joan W Lisak, MD?

The NPI number of Dr. Joan W Lisak, MD is 1013942531. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joan W Lisak, MD?

Dr. Joan W Lisak, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in MA under license number 57480.

Where does Dr. Joan W Lisak, MD practice?

The practice location is 780 Chestnut St, Suite 20, Springfield, MA 01107-1610. The office can be reached at 413-781-2200 (phone) or 413-781-2202 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013942531 directly on the NPPES registry website.

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