Individual
DR. JOHN LISIAK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
611 MORGAN HWY, CLARKS SUMMIT, PA 18411-9128
(570) 585-6700
(570) 585-6714
Mailing address
844 ELM ST, OLYPHANT, PA 18447-2136
(972) 922-1342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013862
PA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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