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1194868091
JOHN LISIAK
CLARKS SUMMIT, PA
NPI
1194868091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OS013862)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Dr. JOHN LISIAK D.O.
611 MORGAN HWY
CLARKS SUMMIT, PA 18411-9128
Phone number: 570-585-6700
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Mailing Address
Dr. JOHN LISIAK D.O.
844 ELM ST
OLYPHANT, PA 18447-2136
Phone number: 972-922-1342
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