Individual provider · Type 1 NPI
Seth Lisle
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1124715255
Active
Practice location
604 W 140th St Apt 5A
New York, NY 10031-7176
Mailing address
230 W 125th St Frnt 3
New York, NY 10027-4402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1124715255
Seth Lisle's National Provider Identifier is 1124715255, issued on Apr 19, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 19, 2023.