Organization
HIGHLAND HEALTH CENTER, PLLC
Active
Organization
HIGHLAND HEALTH CENTER, PLLC
Active
Other names
Highland Neurology & Injury Associates, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAINE LISNER M.D. (ATTENDING PHYSICIAN)
(502) 582-5555
Entity
Organization
Contact information
Practice address
720 BARRET AVE, LOUISVILLE, KY 40204-1750
(502) 582-5555
(502) 582-5556
Mailing address
720 BARRET AVE, LOUISVILLE, KY 40204-1750
(502) 582-5555
(502) 582-5556
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
3004162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64253685
—
KY
05
—
78011525
—
KY
Enumeration date
12/21/2009
Last updated
03/10/2011
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