Individual
PETER LISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8000 YORK RD, TOWSON, MD 21252-0001
(410) 704-3180
Mailing address
8000 YORK ROAD, DEPARTMENT OF KINESIOLOGY, TOWSON, MD 21252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000724
MD
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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