David Lisle in South Burlington - Sports Medicine
David Lisle - NPI 1083757439
David Lisle is a Sports Medicine in South Burlington, Vermont. David Lisle practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for David Lisle is 1083757439. The last update date is 2016-09-01.
David Lisle's current location address is 192 Tilley Dr, South Burlington, Vermont. You can contact this provider via phone number 8028472663. The mailing address for David Lisle is 192 Tilley Dr, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lisle |
|---|---|
| Address | 192 Tilley Dr, South Burlington, Vermont |
| Phone Number | 8028472663 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083757439 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2016-09-01 |
Provider Mailing Address Detail
| Address | 192 Tilley Dr |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54034440 |
| Phone Number | 8028472663 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 042-0011500 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8475287 | WA | -- |
Post Comment/ Review Below
What is the David Lisle's unique identification number?
The David Lisle has been assigned the NPI (National Provider Identifier) Number 1083757439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where David Lisle's facilities are geographically located?
The facilities of David Lisle are physically situated at the following location: 192 Tilley Dr, South Burlington, VT, 54034440.
What is the David Lisle's specialty and taxonomy code?
The David Lisle's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
On what date was the 1083757439 assigned to David Lisle?
The David Lisle was issued its 1083757439 on 2007-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the David Lisle's information last updated?
The David Lisle's information was last updated on 2016-09-01.