Individual
DAVID BLAKE LISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-1745
(417) 256-1746
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-6954
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2022006487
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
5951001237
MI
Other
Enumeration date
06/10/2019
Last updated
02/13/2024
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