Kristina Anne Lishawa M.D.

NPI 1063425205 - Internal Medicine - 207R00000X

NPI Details
NPI 1063425205
Gender Female
Enumeration Date 08/15/2006
Last Updated 06/15/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
TRAVERSE CITY MI, 49684-2345, US
Phone (231) 922-9270
Fax (231) 922-9271
Business Location
PO BOX 107
TRAVERSE CITY MI, 49685-0107, US
Phone (231) 922-9270
Fax (231) 922-9271
Taxonomy Code 207R00000X
License State Michigan
License Number 4301094127
Remove 1063425205 NPI Number

According to our database, Dr. Kristina Anne Lishawa M.D. NPI is 1063425205, taxonomy code is 207R00000X and license number is 4301094127, license state is located at Michigan. Kristina Anne Lishawa M.D. physically located at 1105 Sixth St, Traverse City MI, 49684-2345. NPI Number Kristina Anne Lishawa M.D. has the Individual type.

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1063425205 NPI number is provided on an as is basis without warranty of any kind. 1063425205 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina Anne Lishawa M.D. are for informational purposes only.