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DAVID BLAKE LISH DPM NPI 1558920918


NPI Information

NPI: 1558920918
Provider Name: DAVID BLAKE LISH, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1100 N KENTUCKY AVE
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-1745
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David Blake Lish, DPM is a foot and ankle surgery podiatrist in West Plains, MO with 5 years of experience. David Blake Lish, DPM NPI is 1558920918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2019

The provider's business location address is:

1100 N KENTUCKY AVE
WEST PLAINS, MO
ZIP 65775-029
Phone: (417) 256-1745
Fax: (417) 256-1746

The NPI 1558920918 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/10/2019 and was last updated on 2/13/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery5951001237MICHIGANNo
2213ES0103XPodiatristFoot & Ankle Surgery2022006487MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.