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Individual
IZOLDA LISHANSKY
Active
Individual
IZOLDA LISHANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD37461E
PA
207Q00000X
Family Medicine Physician
Primary
MD037461E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011979300001
—
PA
01
—
1007278000
TPI MEDICAID GROUP
PA
01
—
597586
TPI MEDICARE GROUP
PA
01
—
CD4829
TPI RAILROAD MEDICARE GROUP
PA
Enumeration date
07/31/2006
Last updated
11/20/2013
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