Individual
JOHN LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4815 LIBERTY AVE STE 322, PITTSBURGH, PA 15224-2156
(412) 578-4484
(412) 578-3536
Mailing address
4815 LIBERTY AVE STE 322, PITTSBURGH, PA 15224-2156
(412) 578-4484
(412) 578-3536
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD046293L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001278742
—
PA
05
—
217052000
—
WV
05
—
2691609
—
OH
Enumeration date
06/21/2005
Last updated
10/01/2020
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