Individual
DR. MARK ANDREW LISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1 COMMERCE BLVD BLDG STE201, WEST GROVE, PA 19390-9198
(610) 345-0977
(610) 345-0986
Mailing address
1 COMMERCE BLVD STE 201, WEST GROVE, PA 19390-9198
(610) 345-0977
(610) 345-0986
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT001027L
PA
Other
Enumeration date
08/18/2008
Last updated
06/07/2010
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