Organization
JEROME P. LISK, M.D., INC.
Active
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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