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Dr. Joan Wanda Lisak, MD
Cardiovascular Disease Physician in Springfield, Massachusetts
NPI 1013942531

Joan Wanda Lisak is a Cardiovascular Disease Physician based in Springfield, MA and is specialized in Cardiovascular Disease. 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 (Massachusetts).

The current practice location address for Joan Wanda Lisak is 780 Chestnut St, Springfield, MA and can be reached out via phone at 413-781-2200 and via fax at 413-781-2202.

Location: 780 Chestnut St, Springfield, MA, 01101-2041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013942531
Provider Name
Joan Wanda Lisak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
780 Chestnut St, Springfield, MA, 01101-2041
Phone Number
413-781-2200
Fax Number
413-781-2202
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3089428 05 MA
institution
Provider Business Practice Location Address Details
Address
780 Chestnut St
City
Springfield
State
Massachusetts
Zip
01107-1610
Phone Number
413-781-2200
Fax Number
413-781-2202
person
Provider Business Mailing Address Details
Address
780 Chestnut St
City
Springfield
State
Massachusetts
Zip
01107-1610
Phone Number
413-781-2200
Fax Number
413-781-2202
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
57480 (Massachusetts)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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