Lisle, Mark Forrest

Lisle, Mark Forrest is an individual health care provider with primary practice located at 1 Medical Center Drive Room 1144, Morgantown WV 26506. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lisle, Mark Forrest can be contacted via phone (304) 293-2463.

Contact Information

Primary practice address
1 Medical Center Drive Room 1144 Morgantown WV 26506
Phone: (304) 293-2463
Fax: (304) 293-5160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25929 West Virginia

Profile Details

NPI number 1376819755
LBN Legal business name Lisle, Mark Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Apr 15th, 2022 - about 4 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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