Individual
DR. RANDY LAWRENCE LISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9012 RESEARCH BLVD, SUITE C-13, AUSTIN, TX 78758-7012
(512) 450-0101
(512) 450-0086
Mailing address
9012 RESEARCH BLVD, SUITE C-13, AUSTIN, TX 78758-7012
(512) 450-0101
(512) 450-0086
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079893601
—
TX
Enumeration date
07/12/2006
Last updated
04/20/2010
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