Basic Information
| Provider Information | |||||||||
| NPI: | 1962665513 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LISCHNER | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | I | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 534 ASHWOOD DR | ||||||||
| Address2: | |||||||||
| City: | NAZARETH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180648884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103909128 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 W BROAD ST STE 506 | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6109545810 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2008 | ||||||||
| LastUpdateDate: | 08/18/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | OS015724 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LC0200X | OS015724 | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Critical Care Medicine |
No ID Information.