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Katherine Lisoni, MD
Family Medicine Physician in Mishawaka, Indiana
NPI 1780601351

Katherine Lisoni is a Family Medicine Physician based in Valparaiso, IN. Katherine Lisoni practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Katherine Lisoni is 1780601351 and holds a License No. 11011690 (Indiana).

The current practice location address for Katherine Lisoni is 420 W 4Th St, Mishawaka, IN and can be reached out via phone at 574-307-7673 and via fax at 574-307-7692.

Location: 420 W 4Th St, Mishawaka, IN, 46383-2520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780601351
Provider Name
Katherine Lisoni
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
420 W 4Th St, Mishawaka, IN, 46383-2520
Phone Number
574-307-7673
Fax Number
574-307-7692
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200844990 05 IN
000000580326 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
420 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1948
Phone Number
574-307-7673
Fax Number
574-307-7692
person
Provider Business Mailing Address Details
Address
420 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1948
Phone Number
574-307-7673
Fax Number
574-307-7692
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
11011690 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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