Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID LISAN, D.O.

Active

DAVID LISAN, D.O. is a General Practice healthcare provider located in PENN VALLEY, Pennsylvania. NPI 1629148945 is currently active in the NPPES registry. Verify at CMS.

General Practice · PENN VALLEY, PA

Registration Details

NPI Number: 1629148945
Provider Type: Individual
Gender: Male
NPI Issued: Nov 8, 2006 (19.773130989772 yrs)
Last Updated: Dec 12, 2016
Licenses: PT007501L (PA)

OS7820 (FL)

DAPT001519 (PA)

PT21515 (FL)

OS009840L (PA)

Practice Information

Address: 913 MONTGOMERY AVE

PENN VALLEY, PA, 190721501
Browse PA providers · Browse ZIP 19072
Phone: 6106643400
Fax: 6106648482
Primary Specialty: General Practice
208D00000X
Additional Specialty: General Practice
Additional Specialty: Physical Therapy Assistant
Additional Specialty: Physical Therapy Assistant
Additional Specialty: General Practice

Other General Practice Providers in PENN VALLEY, PA

Name	Credential	NPI
ROBERT D HOCHBERG	MD	1891889614

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.