Kistner, Lisa M

Kistner, Lisa M is an individual health care provider with primary practice located at 1930 Peace Haven Rd , Winston Salem NC 27106-4817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kistner, Lisa M can be contacted via phone (336) 713-7800.

Contact Information

Primary practice address

1930 Peace Haven Rd Winston Salem NC 27106-4817

Phone: (336) 713-7800

Fax: (336) 713-7802

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Internal Medicine	207R00000X	2004-00695	North Carolina

Profile Details

NPI number	1114919727
LBN Legal business name	Kistner, Lisa M
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 19th, 2005
Last updated	Nov 30th, 2012 - about 14 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

State	Type	Number	Issuer
All States	NPI	1114919727	NPPES
North Carolina	MEDICAID	8913695

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