Mark S Lisch, DPM

NPI #1124094958 in Fort Worth, Texas

Provider Information

NPI Number: 1124094958
Entity Type: Individual
Name: Mark S Lisch, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Feb 23, 2006
Last Updated: Oct 4, 2021

Practice Location

Address: 6816 SHADOW CREEK CT
City: Fort Worth
State: Texas
ZIP Code: 76132-4522
Phone: (832) 368-6841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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