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Individual

DR. CHARLES A LISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 RIVERVIEW AVE STE 900, NORFOLK, VA 23510-1068
(757) 252-9300
(757) 510-9278
Mailing address
301 RIVERVIEW AVE STE 900, NORFOLK, VA 23510-1068
(757) 252-9300
(757) 510-9278

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054252
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006089879
VA
Enumeration date
02/21/2006
Last updated
07/07/2020
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