Individual
DONALD LISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 E STREET NW, M MED QI, SA 1, WASHINGTON, DC 20522-0001
(202) 663-2453
(202) 663-3247
Mailing address
113 KENSINGTON CT, CLAYTON, NC 27527-5325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1002744
DC
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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