Individual
STEVEN JAY LISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4081
(402) 559-7372
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4081
(402) 559-7372
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-084668
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35-084668
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
36736
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200483410
—
IL
05
—
2486313
—
OH
05
—
64082167
—
KY
Enumeration date
07/12/2006
Last updated
04/09/2014
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