NPI Index

DAVID LISLE, M.D.

Family Medicine - Sports Medicine

Active Individual
NPI: 1083757439

Practice Address

192 TILLEY DR
ORTHOPAEDIC SPECIALTY CENTER
South Burlington, VT 05403

Phone: (802) 847-2663

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 042-0011500 (VT)
Family Medicine - Sports Medicine 207QS0010X Yes 042-0011500 (VT)

Frequently Asked Questions

NPI 1083757439 is the National Provider Identifier for DAVID LISLE, M.D., a Family Medicine - Sports Medicine provider located in South Burlington, VT. This NPI was enumerated on February 15, 2007.
DAVID LISLE, M.D. practices at 192 TILLEY DR, ORTHOPAEDIC SPECIALTY CENTER, South Burlington, VT 05403.

Quick Facts

NPI
1083757439
Type
Individual
Enumerated
Feb 15, 2007
Last Updated
Sep 1, 2016

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