Individual
DR. MAXIM LIANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL, MEDFORD, MA 02155-1643
(781) 306-6164
(781) 306-6146
Mailing address
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL, MEDFORD, MA 02155-1643
(781) 306-6164
(781) 306-6146
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
222895
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J28215
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/07/2006
Last updated
04/10/2013
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