PHILLIP LIS

GREENVILLE, SC
NPI1811456098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2019-03-18
Last Update Date2019-03-18
Business Address
Mr. PHILLIP LIS CPO
950 W FARIS RD
GREENVILLE, SC 29605-4255
Phone number: 864-255-8761
Mailing Address
Mr. PHILLIP LIS CPO
PO BOX 865109
ORLANDO, FL 32886-5109
Phone number: 844-602-3960
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