Individual
DR. LISA JUNE VIROSTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 PEERLESS RD NW, CLEVELAND, TN 37312-3732
(423) 472-2171
(423) 559-8032
Mailing address
2620 PEERLESS RD NW, CLEVELAND, TN 37312-3732
(423) 472-2171
(423) 559-8032
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD28495
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3804203
—
TN
Enumeration date
07/26/2006
Last updated
01/26/2012
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