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Justin Lisak
NPI 1689955866 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3105 Harrison St
Hollywood, FL 33021 - Phone
- (954) 328-2802
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida