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Individual

DR. JENNIFER NICOLE LISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
275 W BASSETT RD, SHELBYVILLE, IN 46176-8574
(317) 392-0003
(317) 392-0003
Mailing address
275 W BASSETT RD, SHELBYVILLE, IN 46176-8574
(317) 392-0003
(317) 392-0003

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003397
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
070001053A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003397
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200890930
IN
Enumeration date
07/06/2006
Last updated
01/14/2014
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