| Randy L. Lisch, Dpm, P.a. | |
|
9012 Research Blvd, Suite C-13, Austin, TX 78758-7012 | |
| (512) 450-0101 | |
| (512) 450-0086 |
| Full Name | Randy L. Lisch, Dpm, P.a. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 9012 Research Blvd, Austin, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548356397 | NPI | - | NPPES |
| 079893601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randy L. Lisch, Dpm, P.a. 9012 Research Blvd, Suite C-13, Austin, TX 78758-7012 Ph: (512) 450-0101 | Randy L. Lisch, Dpm, P.a. 9012 Research Blvd, Suite C-13, Austin, TX 78758-7012 Ph: (512) 450-0101 |
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