David Lisan, DO is a
General Practice based in Penn Valley, Pennsylvania. David Lisan is licensed to practice in Pennsylvania (license number OS009840L) and his current practice location is
913 Montgomery Ave, Penn Valley, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 664-3400.
NPI number for David Lisan is 1629148945 and his current mailing address is 913 Montgomery Ave, Penn Valley, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629148945.
Healthcare Provider's Profile
| Full Name | David Lisan |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
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| Location | 913 Montgomery Ave, Penn Valley, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629148945
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 12/12/2016
Medical Identifiers
Medical identifiers for David Lisan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629148945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT007501L (Pennsylvania) | Secondary |
| 208D00000X | General Practice | OS7820 (Florida) | Secondary |
| 225100000X | Physical Therapist | DAPT001519 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | PT21515 (Florida) | Secondary |
| 208D00000X | General Practice | OS009840L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Lisan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Lisan, DO
913 Montgomery Ave,
Penn Valley, PA 19072-1501
Ph: (610) 664-3400 | David Lisan, DO
913 Montgomery Ave,
Penn Valley, PA 19072-1501
Ph: (610) 664-3400 |
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