Provider Demographics
NPI:1346700663
Name:FLEISCHER, LISA KAREN (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:KAREN
Last Name:FLEISCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:391 MYRTLE AVE STE 4A
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3829
Practice Address - Country:US
Practice Address - Phone:518-207-2273
Practice Address - Fax:518-207-2293
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2024-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0026455207Q00000X
PAMD483620207Q00000X
NY333155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine