Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISBETTE POLANCO, M.D.
ActivePediatrics · CHARLESTON, WV
Registration Details
- NPI Number
- 1194724922
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2005 (20.832631465036 yrs)
- Last Updated
- May 5, 2016
- Licenses
-
12843 (PR)12843 (PR)
Practice Information
- Address
-
1907 CLARK POINTECHARLESTON, WV, 25314Browse WV providers · Browse ZIP 25314
- Phone
- 3043444761
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Family Medicine
Other Pediatrics Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY SUE CROSS | MD | 1689671406 |
| DR. BONNIE BAILEY | MD | 1699753335 |
| PENNY S DIVITA | DO | 1598744757 |
| ARTHUR BRUCE RUBIN | D.O. | 1295798312 |
| SUE ANN UPTON | M.D. | 1922061076 |
| CAROL JOHNSON FRAIL | M.D. | 1295798361 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.