DR. LISBETTE POLANCO M.D. NPI 1194724922

NPI Information

  • NPI: 1194724922
  • Provider Name: DR. LISBETTE POLANCO, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 1907 CLARK POINTE
    CHARLESTON, WV
    ZIP 25314
  • Phone: (304) 344-4761

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NPI Details

DR. Lisbette Polanco, M.D. is a pediatrics in Charleston, WV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Lisbette Polanco, M.D. NPI is 1194724922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1907 CLARK POINTE
CHARLESTON, WV
ZIP 25314
Phone: (304) 344-4761

The enumeration date for this NPI number is 7/14/2005 and was last updated on 5/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine12843PUERTO RICONo
2208000000XPediatrics12843PUERTO RICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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