# DAVID BLAKE LISH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558920918
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2022006487 | MO | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5951001237 | MI | — |

## Other

- **Enumeration date:** 06/10/2019
- **Last updated:** 02/13/2024