Individual
DR. EDWARD J LISECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
516 JEFFERSON TER, SUITE 100, NEW IBERIA, LA 70560-4948
(337) 364-5310
(337) 364-5313
Mailing address
516 JEFFERSON TER, SUITE 100, NEW IBERIA, LA 70560-4948
(337) 364-5310
(337) 364-5313
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26008
LA
Other
Enumeration date
01/02/2007
Last updated
05/29/2012
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