Male or Other

Dr. Lisso Nachman MD

Full Name

Dr. Lisso Nachman MD

NPI Number

1073734323

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/02/2007

Specialties

(Taxonomies)

Code

207W00000X
208600000X

Primary Taxonomy

No
No

Licenses

State

Louisiana

License Number

008986

Contact
Information

Purpose

Mailing
Location

Address

4315 WILLOWICK BLVD
4315 WILLOWICK BLVD

City

Alexandria
Alexandria

State

LA
LA

Postal Code

71303
71303

Country

US
US

Telephone Number

(318) 443-5879
(318) 443-5879

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address