DR. Lawrence Elliott Liston, D.D.S
NPI #1568616886 in Bloomington, Illinois
Provider Information
- NPI Number
- 1568616886
- Entity Type
- Individual
- Name
- DR. Lawrence Elliott Liston, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Nov 13, 2008
- Last Updated
- Nov 13, 2008
Practice Location
- Address
- 2103 E WASHINGTON ST STE 2D
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4365
- Phone
- (309) 663-5582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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