David Lisan is a General Practice in Penn Valley, Pennsylvania. David Lisan practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Lisan is 1629148945. The last update date is 2016-12-12.
David Lisan's current location address is 913 Montgomery Ave, Penn Valley, Pennsylvania. You can contact this provider via phone number 6106643400 and fax number 6106648482. The mailing address for David Lisan is 913 Montgomery Ave, Penn Valley, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Lisan |
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Address | 913 Montgomery Ave, Penn Valley, Pennsylvania |
Phone Number | 6106643400 |
Fax Number | 6106648482 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1629148945 |
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Provider Enumeration Date | 2006-11-08 |
Last Updated Date | 2016-12-12 |
Provider Mailing Address Detail
Address | 913 Montgomery Ave |
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City | Penn Valley |
State | Pennsylvania (PA) |
Post Code | 190721501 |
Phone Number | 6106643400 |
Fax Number | 6106648482 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | OS7820 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique identification code assigned to David Lisan by the Centers for Medicare & Medicaid Services?
The David Lisan has been issued the NPI (National Provider Identifier) 1629148945. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the David Lisan located?
The David Lisan is located at 913 Montgomery Ave, Penn Valley, PA 190721501.
What is David Lisan's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Lisan's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629148945 to David Lisan?
The Centers for Medicare & Medicaid Services originally issued the 1629148945 to David Lisan on 2006-11-08.
When was the David Lisan's information last updated?
The David Lisan's information was last updated on 2016-12-12.