Individual
DAVID LISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
913 MONTGOMERY AVE, PENN VALLEY, PA 19072-1501
(610) 664-3400
(610) 664-8482
Mailing address
913 MONTGOMERY AVE, PENN VALLEY, PA 19072-1501
(610) 664-3400
(610) 664-8482
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS009840L
PA
208D00000X
General Practice Physician
OS7820
FL
225100000X
Physical Therapist
DAPT001519
PA
225100000X
Physical Therapist
PT007501L
PA
225100000X
Physical Therapist
PT21515
FL
Other
Enumeration date
11/08/2006
Last updated
12/12/2016
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