NPI 1124094958

Mark S Lisch, DPM

Practitioner Podiatrist Fort Worth, TX

Practice location

Address: 6816 Shadow Creek CT, Fort Worth, TX 76132-4522
Phone: (832) 368-6841
Mailing address: PO Box 16918, Fort Worth, TX 76162-0918

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 0787 (TX)

Other Podiatrist providers in Texas →

Registry record

NPI: 1124094958
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 4 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.