Individual
JEFFREY LAWRENCE LISIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
314856
NY
208200000X
Plastic Surgery Physician
S9341
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301107909
MI
Other
Enumeration date
06/08/2015
Last updated
07/28/2022
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