Individual
DR. MARGARET ANN LISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
747 N STATE ST, NORTH VERNON, IN 47265-1044
(812) 346-8500
(812) 352-8308
Mailing address
747 N STATE ST, NORTH VERNON, IN 47265-1044
(812) 346-8500
(812) 352-8308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1414DT
KY
152W00000X
Optometrist
Primary
18003048A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335310A
—
IN
05
—
200345210
—
IN
Enumeration date
08/30/2005
Last updated
09/27/2016
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