Wisniewski, Lisa

Wisniewski, Lisa is an individual health care provider with primary practice located at 2215 Landover Pl , Lynchburg VA 24501-2115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Wisniewski, Lisa can be contacted via phone (434) 947-3944.

Contact Information

Primary practice address
2215 Landover Pl Lynchburg VA 24501-2115
Phone: (434) 947-3944
Fax: (866) 617-8273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 0101057722 Virginia

Profile Details

NPI number 1336123660
LBN Legal business name Wisniewski, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Aug 30th, 2016 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1336123660 NPPES
Virginia MEDICAID 5809606
Virginia Other 110228664

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