Individual
BOZENNA M LISZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 WILEY DRIVE, FERRUM, VA 24088
(540) 365-4469
(540) 365-4272
Mailing address
PO BOX 9, LAUREL FORK, VA 24352-0009
(276) 398-1200
(276) 398-2094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101053961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00294696
MEDICARE RAILROAD
VA
Enumeration date
01/04/2006
Last updated
11/10/2010
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