Individual provider · Type 1 NPI
David Lisan, DO
General Practice Physician · Penn Valley, PA
NPI number
1629148945
Active
Practice location
913 Montgomery Ave
Penn Valley, PA 19072-1501
Fax (610) 664-8482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | PT007501L (PA) |
| General Practice Physician | 208D00000X | OS7820 (FL) |
| Physical Therapist | 225100000X | DAPT001519 (PA) |
| Physical Therapist | 225100000X | PT21515 (FL) |
| General Practice Physician Primary | 208D00000X | OS009840L (PA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Penn Valley
About NPI 1629148945
David Lisan, DO's National Provider Identifier is 1629148945, issued on Nov 8, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Penn Valley, PA. The record was last updated on Dec 12, 2016.