Individual
LISA LEWANDOWSKI WISCHHUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2094 WOODRUFF RD, GREENVILLE, SC 29607-5939
(864) 676-9211
(864) 676-9432
Mailing address
2094 WOODRUFF RD, GREENVILLE, SC 29607-5939
(864) 676-9211
(864) 676-9432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21097
SC
2084P0800X
Psychiatry Physician
Primary
MD21097
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21097
SC MEDICAL LIC #
SC
Enumeration date
06/09/2006
Last updated
05/01/2023
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