Organization
JEROME P. LISK, M.D., INC.
Active
Other names
Southern California Movement Disorder Sepcialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME P LISK MD, MBA (PHYSICIAN)
(940) 383-1770
Entity
Organization
Contact information
Practice address
3537 S I 35 E STE 112, DENTON, TX 76210-6868
(940) 383-1770
(833) 992-0840
Mailing address
3537 S I 35 E STE 112, DENTON, TX 76210-6868
(940) 383-1770
(833) 992-0840
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A88331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ9581
MEDICARE RAILROAD
CA
Enumeration date
10/02/2007
Last updated
04/03/2026
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