Individual
ROBERT RUDOLPH LISAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 UPPERGATE DR #400, ATLANTA, GA 30322-6511
(404) 778-4834
Mailing address
2015 UPPERGATE DR #400, ATLANTA, GA 30322-0001
(404) 778-4834
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
88026
GA
Other
Enumeration date
03/19/2018
Last updated
05/30/2024
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