Lisle, David

Lisle, David is an individual health care provider with primary practice located at 192 Tilley Dr Orthopaedic Specialty Center, South Burlington VT 05403-4440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lisle, David can be contacted via phone (802) 847-2663.

Contact Information

Primary practice address
192 Tilley Dr Orthopaedic Specialty Center South Burlington VT 05403-4440
Phone: (802) 847-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0011500 Vermont
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 042-0011500 Vermont

Profile Details

NPI number 1083757439
LBN Legal business name Lisle, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Sep 1st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083757439 NPPES
Washington MEDICAID 8475287

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