SearchArizona224Z00000X

Mark Lisak

NPI 1699600452 · on the registry since 2026

Practice

Address
3112 E Butler Ave
Flagstaff, AZ 86004
Phone
(860) 519-7902
Fax
(502) 212-8502

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-15

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 Arizona