Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK S LISSAUER, MD
ActiveDR. JACK S LISSAUER, MD is a Gastroenterology healthcare provider located in BEACHWOOD, Ohio. NPI 1720087356 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · BEACHWOOD, OH
Registration Details
- NPI Number
- 1720087356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2005 (21.114274244157 yrs)
- Last Updated
- Oct 24, 2007
- License
-
35038212L (OH)
Practice Information
- Address
-
3700 PARK EAST DRSUITE 100BEACHWOOD, OH, 441224339Browse OH providers · Browse ZIP 44122
- Phone
- 2165937700
- Fax
- 2165937190
- Primary Specialty
-
Gastroenterology
207RG0100X
Other Gastroenterology Providers in BEACHWOOD, OH
| Name | Credential | NPI |
|---|---|---|
| TRISHA DORAN | M.D. | 1164573317 |
| DR. MODISH JEAN LANE | M.D. | 1851430417 |
| ARUMUGAM NATESAN | M.D. | 1518166909 |
| DR. SURESH POLA | M.D. | 1780858308 |
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.