Lawrence Albert Lisska, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0029258 Issued in FL

Practice address

4130 Salisbury Rd
Suite 1900
Jacksonville, FL 32216-8031

Phone

(904) 281-0234

Fax

(904) 281-0236

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist ENT Specialists Inc

  • Otolaryngology Physician
  • Jacksonville, FL
  • NPI 1467751834
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1952470874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 SALISBURY RD",
            "address_2": "SUITE 1900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168031",
            "telephone_number": "904-281-0234",
            "fax_number": "904-281-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 SALISBURY RD",
            "address_2": "SUITE 1900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168031",
            "telephone_number": "904-281-0234",
            "fax_number": "904-281-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSKA",
        "first_name": "LAWRENCE",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "0029258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004628900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giolette Nicole Lisenko Torres, BCBA
• Ijoni Lisha, MD
• Valerie Lisiecki, MS, ATC, LAT
• Danielle Rose Liso, PHD., BCBA-D
• Lissen Therapy, LLC
• Hana Listes
• Julie M. Liszka, PH.D.
• Gabrielle Littell, D.M.D.
• Little Star Center, Inc
• Little Talkers Inc

• Otolaryngology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.