Lisman, Larry L
Lisman, Larry L is an sole proprietor health care provider with primary practice located at 7430 N Shadeland Ave Suite 100, Indianapolis IN 46250-2070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lisman, Larry L can be contacted via phone (317) 596-9804.Contact Information
Primary practice address
7430 N Shadeland Ave Suite 100
Indianapolis IN 46250-2070
Phone: (317) 596-9804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01030377 | Indiana |
Profile Details
| NPI number | 1376536037 |
|---|---|
| LBN Legal business name | Lisman, Larry L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | May 10th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376536037 | NPPES |
| Indiana | MEDICAID | 100251430 |
Popular Providers
-
Graber, Jacqueline L.
8040 Clearvista Pkwy , Indianapolis IN 46256-5630 -
Burke, Brent C
2001 W 86Th St , Indianapolis IN 46260-1902 -
Stansbury, James
1701 N Senate Blvd , Indianapolis IN 46202-1239 -
Stalter, Bradley A
1701 N Senate Blvd , Indianapolis IN 46202-1239 -
Sim, Seung B
8450 Northwest Blvd , Indianapolis IN 46278-1381 -
Burton, Patricia
1402 E County Line Rd , Indianapolis IN 46227-0963 -
Camp, David M
8111 S Emerson Ave , Indianapolis IN 46237-8601 -
Li, Gang
1701 N Senate Blvd , Indianapolis IN 46202-1239