EDGAR JONATHAN LISANSKY

ALBUQUERQUE, NM
NPI1932212024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NM  84-212)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
Dr. EDGAR JONATHAN LISANSKY MD
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
Mailing Address
Dr. EDGAR JONATHAN LISANSKY MD
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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