Individual
DR. ALEXANDER LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5120 MANZANITA AVE STE 100, CARMICHAEL, CA 95608-0590
(916) 459-4398
Mailing address
5120 MANZANITA AVE STE 100, CARMICHAEL, CA 95608-0590
(916) 705-4135
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL6850
CA
Other
Enumeration date
04/05/2019
Last updated
07/13/2020
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