Individual
DR. BRENT CHARLES LISTER TRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
Mailing address
946 GOSS AVE APT 2205, LOUISVILLE, KY 40217-2281
(502) 657-9220
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
51182
KY
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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