Lisenby, Cathy Diane

Lisenby, Cathy Diane is an individual health care provider with primary practice located at 2 Good Samaritan Way , Mount Vernon IL 62864-2408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lisenby, Cathy Diane can be contacted via phone (618) 899-4000.

Contact Information

Primary practice address

2 Good Samaritan Way Mount Vernon IL 62864-2408

Phone: (618) 899-4000

Fax: (618) 899-4790

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant	363A00000X	0850001397	Illinois

Profile Details

NPI number	1346356524
LBN Legal business name	Lisenby, Cathy Diane
Credentials	Physician's Assistant Certified (PA-C)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 21st, 2006
Last updated	Dec 18th, 2020 - about 5 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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