Individual
MS. DOROTHY S. LISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
174 BUCKAROO LN, BELLEFONTE, PA 16823-9119
(814) 353-1030
(814) 353-1053
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1046
MN
363A00000X
Physician Assistant
Primary
MA057428
PA
Other
Enumeration date
10/01/2007
Last updated
08/24/2020
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