Robert Rudolph Lisac
Pediatrician Pediatric Hematology-Oncologist
2015 Uppergate Dr #400
Atlanta
, Georgia 30322-6511
Robert Rudolph Lisac
Pediatrician Pediatric Hematology-Oncologist
2015 Uppergate Dr #400
Atlanta
, Georgia 30322-6511
(404) 778-4834
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Robert Rudolph Lisac
- 2015 Uppergate Dr #400
- Atlanta, GA
- Zip : 30322-0001
- Phone : (404) 778-4834
Second Address
- Robert Rudolph Lisac
- 2015 Uppergate Dr #400
- Atlanta, GA
- Zip : 30322-6511
- Phone : (404) 778-4834
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Is Robert Rudolph Lisac accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | TRN26672 | FL |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 88026 | GA |
National Provider Identifier
| NPI | 1033613823 |
|---|---|
| Provider Name | Robert Rudolph Lisac |
| First Address | Atlanta, GA 30322-0001 |
| Second Address | Atlanta, GA 30322-6511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2018 |
| Last Update Date | 07/06/2021 |
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.