Individual
ALEXIS R LISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15195 HEATHCOTE BLVD STE 240, HAYMARKET, VA 20169-6245
(888) 824-0200
Mailing address
PO BOX 748613, ATLANTA, GA 30374-8613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011160
VA
363AS0400X
Surgical Physician Assistant
085007357
IL
Other
Enumeration date
07/02/2016
Last updated
06/30/2026
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