Lisk, Robert G

Lisk, Robert G is an individual health care provider with primary practice located at 203 Hospital Dr Suite 200, Glen Burnie MD 21061-6904. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lisk, Robert G can be contacted via phone (410) 760-8840.

Contact Information

Primary practice address
203 Hospital Dr Suite 200 Glen Burnie MD 21061-6904
Fax: (410) 760-7864
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0015711 Maryland

Profile Details

NPI number 1700884707
LBN Legal business name Lisk, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700884707 NPPES
Maryland MEDICAID 309821400

Popular Providers