Individual
MRS. PRISCILA LISBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, POB SUITE 105, PEORIA, IL 61637
(309) 624-4100
(212) 939-4022
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(239) 826-2306
(212) 939-4022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.164484
IL
208000000X
Pediatrics Physician
ME179000
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
036.164484
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
ME179000
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2020
Last updated
02/20/2026
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