Individual
WILLIAM MARK LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3516 BANKS ST, NEW ORLEANS, LA 70119-7002
(504) 373-8480
(504) 910-9141
Mailing address
3516 BANKS ST, NEW ORLEANS, LA 70119-7002
(504) 373-8480
(504) 910-9141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061522
—
LA
Enumeration date
06/13/2007
Last updated
12/17/2013
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