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1629085949
BLAINE M LISNER
LOUISVILLE, KY
NPI
1629085949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: KY 25368)
Enumeration Date
2006-08-01
Last Update Date
2021-08-05
Business Address
Dr. BLAINE M LISNER M.D.
3747 DIANN MARIE RD
LOUISVILLE, KY 40241
Phone number: 502-426-9200
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Mailing Address
Dr. BLAINE M LISNER M.D.
3707 CHAMBERLAIN LANE SUITE 101
LOUISVILLE, KY 40241-2091
Phone number: 502-426-9200
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