DESTA LISSANU

BOSTON, MA
NPI1942769773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA  290272)
Enumeration Date2019-03-19
Last Update Date2023-04-16
Business Address
DESTA LISSANU MD
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-9550
Mailing Address
DESTA LISSANU MD
58 WELD HILL ST
BOSTON, MA 02130-4187
Phone number: