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1720087356
JACK S LISSAUER
BEACHWOOD, OH
NPI
1720087356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OH 35038212L)
Enumeration Date
2005-07-15
Last Update Date
2007-10-24
Business Address
Dr. JACK S LISSAUER MD
3700 PARK EAST DR SUITE 100
BEACHWOOD, OH 44122-4339
Phone number: 216-593-7700
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Mailing Address
Dr. JACK S LISSAUER MD
3700 PARK EAST DR SUITE 100
BEACHWOOD, OH 44122-4339
Phone number: 216-593-7700
Copy
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