| Doctor Name: | MICHAEL HENRY LISIAK |
| NPI Number: | 1104878842 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A050175 |
| Business Practice Address: | 10333 El Camino Real Atascadero, CA - 934237001 |
| Business Phone Number: | 8054682000 |
| Business Fax Number: | 8054666011 |
| Mailing Address: | 1600 9th Street, Room 205 Mailstop 2-3 SACRAMENTO |
| State: | CA |
| Postal Code: | 958146414 |
| Phone Number: | 9166542431 |
| Fax Number: | 9166543186 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084F0202X |
| License Number: | A050175 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Forensic Psychiatry |
| Taxonomy Definition: | Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |