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CAL MICHAEL LISMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3 N RIVER ST, PLAINS, PA 18705-1334
(570) 855-2715
Mailing address
3 N RIVER ST, PLAINS, PA 18705-1334

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011702
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC011702
PA CHIROPRACTIC LICENCE
PA
Enumeration date
12/17/2021
Last updated
12/17/2021
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