Lisson, Scott Walker

Lisson, Scott Walker is an individual health care provider with primary practice located at 3024 New Bern Ave , Raleigh NC 27610-1247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lisson, Scott Walker can be contacted via phone (919) 350-7251.

Contact Information

Primary practice address
3024 New Bern Ave Raleigh NC 27610-1247
Phone: (919) 350-7251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME81837 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X 2007-01720 North Carolina

Profile Details

NPI number 1396726394
LBN Legal business name Lisson, Scott Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 8th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396726394 NPPES
Other 1396726394 BCBS NC
Other 1396726394 BCBS NC
MEDICAID 5909256 BCBS NC

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