Individual
DR. DEREK CHRISTOPHER LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 EAST VAUGHN AVE, NORTH LOUISIANA MEDICAL CENTER, RUSTON, LA 71270
(318) 245-2456
Mailing address
401 EAST VAUGHN AVE, NORTH LOUISIANA MEDICAL CENTER, RUSTON, LA 71270
(318) 245-2456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-46350
KS
207P00000X
Emergency Medicine Physician
13553
HI
207P00000X
Emergency Medicine Physician
Primary
MD202822
LA
207P00000X
Emergency Medicine Physician
MD44196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1882259
—
LA
Enumeration date
03/14/2006
Last updated
04/10/2025
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