Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Lawrence Lisiecki, MD

Individual provider Plastic Surgery Physician · NPI 1447630199

Jeffrey Lawrence Lisiecki, MD is a Plastic Surgery Physician in New York, New York. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan, New York and Texas.

Licensed in
MI, NY, TX
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

737 Park Ave Apt 1C
New York, NY 10021-4264
Phone: (212) 680-4626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 998-6022
  • 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 — (214) 823-5023

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 314856 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence S9341 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301107909 (MI)

Record details

NPI number1447630199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2015
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022

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