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Search › Missouri › 2084N0400X

Benjamin Lisle, MD

NPI 1598143505 · on the registry since 2015 · sole proprietor

Practice

Address
3801 S National Ave # 900
Springfield, MO 65807
Phone
(417) 875-3000
Clinicians at this address
2

Additional practice sites

  • 17622 Crystal Valley Rd, Little Rock, AR

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
390200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-29

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 Missouri