David Lisak

NPI 1386185031 · on the registry since 2017 · sole proprietor

Practice

Address: 256 Buena Vista St
Grass Valley, CA 95945
Phone: (530) 274-2000
Organisation at this address: Common Purpose
Common Goals, Inc.
Common Goals, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California