CATHY DIANE LISENBY

MOUNT VERNON, IL
NPI1346356524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  0850001397)
Enumeration Date2006-08-21
Last Update Date2020-12-18
Business Address
Ms. CATHY DIANE LISENBY PA-C
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864-2408
Phone number: 618-899-4000
Mailing Address
Ms. CATHY DIANE LISENBY PA-C
5100 LAKE TER NE STE WC
MOUNT VERNON, IL 62864-9665
Phone number: 618-899-5001
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