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1013942531
JOAN WANDA LISAK
SPRINGFIELD, MA
NPI
1013942531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MA 57480)
Enumeration Date
2006-07-12
Last Update Date
2017-12-15
Business Address
Dr. JOAN WANDA LISAK M.D.
780 CHESTNUT ST SUITE 20
SPRINGFIELD, MA 01107-1610
Phone number: 413-781-2200
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Mailing Address
Dr. JOAN WANDA LISAK M.D.
PO BOX 2041
SPRINGFIELD, MA 01101-2041
Phone number: 413-781-2200
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