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Dr. Jack S Lissauer, MD
Gastroenterology Physician in Beachwood, Ohio
NPI 1720087356

Jack S Lissauer is a Gastroenterology Physician based in Beachwood, OH and is specialized in Gastroenterology. Jack S Lissauer practices in Beachwood, OH and has the professional credentials of MD. The NPI Number for Jack S Lissauer is 1720087356 and holds a License No. 35038212L (Ohio).

The current practice location address for Jack S Lissauer is 3700 Park East Dr, Beachwood, OH and can be reached out via phone at 216-593-7700 and via fax at 216-593-7190.

Location: 3700 Park East Dr, Beachwood, OH, 44122-4339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720087356
Provider Name
Jack S Lissauer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3700 Park East Dr, Beachwood, OH, 44122-4339
Phone Number
216-593-7700
Fax Number
216-593-7190
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000127021 01 OH ANTHEM BCBS & ANTHEM SR
000000127021 01 OH ONE NATION BENEFIT ADMIN.
5089882001 01 OH CIGNA
000000127021 01 OH OHIO OPERATING ENGINEERS
4079026 01 OH AETNA
603650 01 OH UNITED HEALTHCARE
0307699 05 OH
P1482889 01 OH OXFORD INSURANCE
R38212 01 OH APEX & SUMMACARE
institution
Provider Business Practice Location Address Details
Address
3700 Park East Dr
City
Beachwood
State
Ohio
Zip
44122-4339
Phone Number
216-593-7700
Fax Number
216-593-7190
person
Provider Business Mailing Address Details
Address
3700 Park East Dr
City
Beachwood
State
Ohio
Zip
44122-4339
Phone Number
216-593-7700
Fax Number
216-593-7190
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
35038212L (Ohio)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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