Individual provider · Type 1 NPI

Mark Forrest Lisle, MD

Diagnostic Radiology Physician · Morgantown, WV

NPI number 1376819755 Active

Practice location

1 Medical Center Drive, Room 1144
Morgantown, WV 26506

Call (304) 293-2463 Map

Fax (304) 293-5160

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X25929 (WV)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1376819755

Mark Forrest Lisle, MD's National Provider Identifier is 1376819755, issued on Mar 29, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Morgantown, WV. The record was last updated on Apr 15, 2022.