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Ms. Maryann Lisak, RN,MS,PNP
Pediatric Nurse Practitioner in Burlington, Vermont
NPI 1790732899

Maryann Lisak is a Pediatric Nurse Practitioner based in Burlington, VT and is specialized in Pediatrics. Maryann Lisak practices in Burlington, VT and has the professional credentials of RN,MS,PNP. The NPI Number for Maryann Lisak is 1790732899 and holds a License No. 101.0019912 (Vermont).

The current practice location address for Maryann Lisak is 128 Lakeside Ave, Burlington, VT and can be reached out via phone at 802-860-1928. You can also correspond with Maryann Lisak through the mailing address at 128 LAKESIDE AVE, BURLINGTON, VT - 05401-4939 (mailing address contact number: 802-860-1928).

Location: 128 Lakeside Ave, Burlington, VT, 05401-4939
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Provider Profile Details
NPI Number
1790732899
Provider Name
Maryann Lisak
Credential
RN,MS,PNP
Provider Entity Type
Individual
Gender
Female
Address
128 Lakeside Ave, Burlington, VT, 05401-4939
Phone Number
802-860-1928
Fax Number
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6703781 05 VT
institution
Provider Business Practice Location Address Details
Address
128 Lakeside Ave
City
State
Zip
05401-4939
Phone Number
802-860-1928
Fax Number
person
Provider Business Mailing Address Details
Address
128 Lakeside Ave
City
State
Zip
05401-4939
Phone Number
802-860-1928
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1010019912 (Vermont)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
101.0019912 (Vermont)
Definition
Definition to come...
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