IndividualActive
Robert Lisac, MD
NPI 1033613823 · Pediatric Hematology & Oncology Physician · Atlanta, GA
Provider details
- NPI number
- 1033613823
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 88026 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2015 Uppergate Dr #400
Atlanta, GA 30322-6511
Phone: (404) 778-4834
Approximate (ZIP-level) locationGet directions
Mailing address
2015 Uppergate Dr #400
Atlanta, GA 30322-0001
Additional practice locations (1)
- 841 Prudential Dr Ste 1130Jacksonville, FL 32207-8331Phone: (904) 633-4199Fax: (904) 633-4188
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.