Lisac, Robert Rudolph
Lisac, Robert Rudolph is an individual health care provider with primary practice located at 2015 Uppergate Dr #400 , Atlanta GA 30322-6511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Lisac, Robert Rudolph can be contacted via phone (404) 778-4834.Contact Information
Primary practice address
2015 Uppergate Dr #400
Atlanta GA 30322-6511
Phone: (404) 778-4834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 88026 | Georgia |
Profile Details
| NPI number | 1033613823 |
|---|---|
| LBN Legal business name | Lisac, Robert Rudolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2018 |
| Last updated | May 30th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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