Individual
LAURA LISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1303 WASHINGTON ST, MARION, AL 36756-3217
(334) 247-1006
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4155
AL
207Q00000X
Family Medicine Physician
Primary
MD.36066
AL
Other
Enumeration date
07/01/2015
Last updated
10/22/2020
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