Lisa Custer, PHD, ATC

Athletic Trainer · Towson, MD

Individual Active NPI

NPI number 1518305879

Practice location

306 Dixie Dr
Towson, MD 21204-7001
Phone
(219) 309-4121

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NPI record

NPI
1518305879
Entity type
Individual (Type 1)
Enumeration date
June 10, 2013
Last updated
September 9, 2020
Certified
September 9, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X A0001128 MD
Athletic Trainer 2255A2300X AT004080 OH

Other practice locations (1)

  • 639 Hollibaugh Ave, Akron, OH 44310-3928 · (219) 309-4121

About Dr. Custer

Lisa Custer, PHD, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 306 Dixie Dr, Towson, MD 21204-7001. The NPI number 1518305879 was assigned on June 10, 2013 and the record was last updated on September 9, 2020.

Dr. Custer lists 2 licenses in the registry: #A0001128 (MD) for Athletic Trainer; #AT004080 (OH) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Custer, PHD, ATC?

The NPI number is 1518305879.

What is the phone number of Dr. Custer?

The phone number listed for the practice location is (219) 309-4121.

Where is Dr. Custer located?

306 Dixie Dr, Towson, MD 21204-7001.

What is the taxonomy code for Dr. Custer?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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