Individual
RONALD MARTIN LISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
5071 HIDDEN CREEK CIR, SOLON, OH 44139-1190
(440) 542-0550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.060203
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD036837E
PA
Other
Enumeration date
10/31/2006
Last updated
09/11/2025
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