Provider Demographics
NPI:1073556254
Name:DIFRANCESCO, LISA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:DIFRANCESCO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1800 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-0919
Mailing Address - Country:US
Mailing Address - Phone:404-377-3474
Mailing Address - Fax:404-377-0433
Practice Address - Street 1:1800 HOWELL MILL RD NW
Practice Address - Street 2:SUITE 400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-0919
Practice Address - Country:US
Practice Address - Phone:404-377-3474
Practice Address - Fax:404-377-0433
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2015-12-03
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Provider Licenses
StateLicense IDTaxonomies
GA051130208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA24BCBTNMedicare ID - Type Unspecified
GAH78355Medicare UPIN