Individual
DR. LISBETTE POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12843
PR
208000000X
Pediatrics Physician
Primary
12843
PR
208D00000X
General Practice Physician
12843
PR
208D00000X
General Practice Physician
22576
WV
Other
Enumeration date
07/14/2005
Last updated
03/30/2026
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