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NPI Code Detail

MEDICARE: GARRETT HENRY LISCHER M.D.

MEDICARE: GARRETT HENRY LISCHER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician38324TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10347510001OTHERTNMEDICARE NSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831185107
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT HENRY LISCHER M.D.
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9245 PARK WEST BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4425
Country : US
Telephone Number : 865-690-3811
Fax Number : 865-694-7621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 03/24/2025

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