Individual
JONATHAN LISSAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
918 DUBLIN ST, NEW ORLEANS, LA 70118-1126
(443) 326-1680
Mailing address
918 DUBLIN ST, NEW ORLEANS, LA 70118-1126
(443) 326-1680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14662R
LA
Other
Enumeration date
06/10/2007
Last updated
06/03/2013
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