Search › Idaho › 103TC0700X
Robert Lisota, PH.D
NPI 1316175862 · on the registry since 2009
Practice
- Address
- 725 S Woodruff Ave Ste 101
Idaho Falls, ID 83401 - Phone
- (208) 346-7500
- Fax
- (208) 346-7501
- Organisation at this address
- Renewed Foundations Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho