MS. Cathy Diane Lisenby, PA-C
NPI #1346356524 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1346356524
- Entity Type
- Individual
- Name
- MS. Cathy Diane Lisenby, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 2 GOOD SAMARITAN WAY
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2408
- Phone
- (618) 899-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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