Individual
DR. LEA QUITANIA LISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10003 US ROUTE 30, WATERMAN, IL 60556
(815) 264-3484
(815) 264-8659
Mailing address
10003 US ROUTE 30, WATERMAN, IL 60556-7128
(815) 264-3484
(815) 264-8659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36116636
IL
Other
Enumeration date
05/14/2007
Last updated
05/18/2018
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