PRISCILA LISBOA

PEORIA, IL
NPI1457971962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036.164484)
Additional Taxonomies2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IL  036.164484)
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL  ME179000)
208000000X Pediatrics
(Licence: FL  ME179000)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-24
Last Update Date2026-02-20
Business Address
Mrs. PRISCILA LISBOA M.D.
530 NE GLEN OAK AVE POB SUITE 105
PEORIA, IL 61637
Phone number: 309-624-4100
Mailing Address
Mrs. PRISCILA LISBOA M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 239-826-2306