Dr LARA DESANTI-SISKA MD is a female medical professional, specializing in Family Medicine. She graduated in 2003.
MEETING HOUSE LANE MEDICAL PRACTICE PC
325 MEETING HOUSE LN
SUITE 403
SOUTHAMPTON
NY
119687000
Tel: 6312832100
| Npi | 1255349692 |
| Pac Id | 5395744007 |
| Professional Enrollment Id | I20061206000497 |
| Last Name | DESANTI-SISKA |
| First Name | LARA |
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| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| Group Practice Pac Id | 6800972589 |
| Number Of Group Practice Members | 88 |
| Line 1 Street Address | 325 MEETING HOUSE LN |
| Line 2 Street Address | SUITE 403 |
| Marker Of Address Line 2 Suppression | |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 119687000 |
| Phone Number | 6312832100 |
| Hospital Affiliation Ccn 1 | 330393 |
| Hospital Affiliation Lbn 1 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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