Robert Rudolph Lisac
Pediatric Hematology-Oncology | Male
Robert Rudolph Lisac is a Atlanta, Georgia based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Robert Rudolph Lisac is
2015 Uppergate Dr #400, Atlanta, Georgia - 30322-6511. He can be contacted on phone at
404-778-4834.
Robert Rudolph Lisac is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert Rudolph Lisac is
1033613823 which was assigned by NPPES on 19 Mar, 2018 and it was last updated on 07 Jun, 2021.
Robert Rudolph Lisac license number is
88026 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Georgia.
Robert Rudolph Lisac is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Robert Rudolph Lisac basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Robert Rudolph Lisac |
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| Gender : | Male |
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Business Address:
Robert Rudolph Lisac address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2015 Uppergate Dr #400
Atlanta, GA, 30322-6511
United States |
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| Phone Number : | 404-778-4834 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033613823 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Mar, 2018 |
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| Last Updated On : | 07 Jun, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Rudolph Lisac are as mentioned. Primary taxonomy code for Robert Rudolph Lisac is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 88026 | GA |
| 208000000X | Pediatrics | No | TRN26672 | FL |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
841 PRUDENTIAL DR STE 1130,
JACKSONVILLE, FL, 32207-8331
United States | JACKSONVILLE, FL | 904-633-4199 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2015 Uppergate Dr #400
Atlanta, GA, 30322-0001
United States |
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| Phone Number : | 404-778-4834 |
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Business Location:
Patients can refer following map for directions to
Robert Rudolph Lisac practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.