Larry L Lisman
NPI #1376536037 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1376536037
- Entity Type
- Individual
- Name
- Larry L Lisman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Aug 29, 2005
- Last Updated
- May 10, 2010
Practice Location
- Address
- 7430 N SHADELAND AVE
- Address 2
- SUITE 100
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46250-2070
- Phone
- (317) 596-9804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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