Organization
DAVID L. LISKA DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L LISKA DC (OWNER)
(620) 257-2040
Entity
Organization
Contact information
Practice address
400 W MAIN ST, LYONS, KS 67554-1819
(620) 257-2040
(620) 257-2038
Mailing address
400 W MAIN ST, LYONS, KS 67554-1819
(620) 257-2040
(620) 257-2038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04803
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060953
MEDICARE ID
KS
Enumeration date
10/05/2011
Last updated
02/13/2012
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