Dr. Ranko Lisul
Dental Public Health
250 Mount Vernon St
Dorchester
, Massachusetts 02125-3120
Dr. Ranko Lisul
Dental Public Health
250 Mount Vernon St
Dorchester
, Massachusetts 02125-3120
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Ranko Lisul
- 17 S Russell St Apt 8
- Boston, MA
- Zip : 02114-3913
- Phone :
Second Address
- Dr. Ranko Lisul
- 250 Mount Vernon St
- Dorchester, MA
- Zip : 02125-3120
- Phone : (617) 288-1140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DL13546 | MA |
National Provider Identifier
| NPI | 1508366725 |
|---|---|
| Provider Name | Dr. Ranko Lisul |
| First Address | Boston, MA 02114-3913 |
| Second Address | Dorchester, MA 02125-3120 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2018 |
| Last Update Date | 14/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.