Individual
ALICJA D LISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295737823
—
WI
Enumeration date
08/12/2005
Last updated
08/05/2014
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