Individual
MR. RYAN LISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2222 N SANTIAGO BLVD, ORANGE, CA 92867-2552
(805) 217-0286
Mailing address
2222 N SANTIAGO BLVD, ORANGE, CA 92867-2552
(805) 217-0286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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