Individual
GRACE LAURELI LISIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3459 5TH AVE STE 9, PITTSBURGH, PA 15213-3236
(412) 692-4888
Mailing address
3600 FORBES AVE STE 140, PITTSBURGH, PA 15213-3410
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD489519
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD489519
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
04/27/2026
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