David Lisan, D.O.

NPI #1629148945 in Penn Valley, Pennsylvania

Provider Information

NPI Number: 1629148945
Entity Type: Individual
Name: David Lisan, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.O.
Enumeration Date: Nov 8, 2006
Last Updated: Dec 12, 2016

Practice Location

Address: 913 MONTGOMERY AVE
City: Penn Valley
State: Pennsylvania
ZIP Code: 19072-1501
Phone: (610) 664-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
General Practice	208D00000X

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