ZEWDU LISSANU MD

TAYLOR REGIONAL MEDICAL GROUP, LLC

Dr ZEWDU LISSANU MD is a male medical professional, specializing in Hematology/oncology. He graduated in 1983.

Contact

TAYLOR REGIONAL MEDICAL GROUP, LLC

125 GREENBRIAR DR
CAMPBELLSVILLE
KY
427189616

Tel: 2707899999

ZEWDU LISSANU MD Information

Npi 1770556235
Pac Id 9931178357
Professional Enrollment Id I20041001000069
Last Name LISSANU
First Name ZEWDU
Middle Name
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1983
Primary Specialty HEMATOLOGY/ONCOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TAYLOR REGIONAL MEDICAL GROUP, LLC
Group Practice Pac Id 4880616622
Number Of Group Practice Members 58
Line 1 Street Address 125 GREENBRIAR DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CAMPBELLSVILLE
State KY
Zip Code 427189616
Phone Number 2707899999
Hospital Affiliation Ccn 1 180087
Hospital Affiliation Lbn 1 TAYLOR REGIONAL HOSPITAL
Hospital Affiliation Ccn 2 180024
Hospital Affiliation Lbn 2 SPRING VIEW HOSPITAL
Hospital Affiliation Ccn 3 181330
Hospital Affiliation Lbn 3 RUSSELL COUNTY HOSPITAL
Hospital Affiliation Ccn 4 180149
Hospital Affiliation Lbn 4 TJ HEALTH COLUMBIA
Hospital Affiliation Ccn 5 181325
Hospital Affiliation Lbn 5 JANE TODD CRAWFORD HOSPITAL
Professional Accepts Medicare Assignment Y

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