Individual provider · Type 1 NPI

Michael Scott Lister, DC

Chiropractor · Fairview Heights, IL

NPI number 1902103310 Active

Practice location

5003 N Illinois St, Ste 2
Fairview Heights, IL 62208-3419

Call (618) 234-1455 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038.011493 (IL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1902103310

Michael Scott Lister, DC's National Provider Identifier is 1902103310, issued on Feb 21, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairview Heights, IL. The record was last updated on Feb 21, 2011.