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Individual
DR. ROBERT W LISLE
Active
Individual
DR. ROBERT W LISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32158
SC
207Q00000X
Family Medicine Physician
D14318
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026441500
—
MD
01
—
KJ24GB-41705201
CAREFIRST OF MD GBMC
MD
01
—
S1420009
CAREFIRST REGIONAL GBMC
MD
Enumeration date
06/04/2006
Last updated
11/01/2011
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