Individual
DR. BENJAMIN LISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 S NATIONAL AVE # 900, SPRINGFIELD, MO 65807-5210
(417) 875-3000
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2020014928
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084722
—
MO
Enumeration date
05/11/2015
Last updated
07/29/2020
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