Doug Lisle, P.H.D

NPI 1831260009 · on the registry since 2006 · sole proprietor

Practice

Address: 1551 Pacific Ave
Santa Rosa, CA 95404
Phone: (707) 586-5555
Fax: (707) 303-4377
Organisation at this address: Goldhamer & Marano Chiropractic Ctr, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-01

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 California