Individual
MR. JOHN LISTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RIVERFRONT PLZ, SUITE 100, LAWRENCE, KS 66044-2293
(785) 841-7297
(785) 856-0375
Mailing address
1 RIVERFRONT PLZ, SUITE 100, LAWRENCE, KS 66044-2293
(785) 841-7297
(785) 856-0375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
420040
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117670B
—
KS
Enumeration date
06/23/2006
Last updated
01/04/2011
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