Lawrence Elliott Liston, D.D.S
Dentist · Bloomington, IL
Practice location
2103 E Washington St Ste 2dBloomington, IL 61701-4365
- Phone
- (309) 663-5582
- Fax
- (309) 663-4683
NPI record
- NPI
- 1568616886
- Entity type
- Individual (Type 1)
- Enumeration date
- November 13, 2008
- Last updated
- November 13, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019019178 | IL |
About Dr. Liston
Lawrence Elliott Liston, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2103 E Washington St Ste 2d, Bloomington, IL 61701-4365. The NPI number 1568616886 was assigned on November 13, 2008 and the record was last updated on November 13, 2008.
Dr. Liston lists a license in the registry: #019019178 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lawrence Elliott Liston, D.D.S?
The NPI number is 1568616886.
What is the phone number of Dr. Liston?
The phone number listed for the practice location is (309) 663-5582.
Where is Dr. Liston located?
2103 E Washington St Ste 2d, Bloomington, IL 61701-4365.
What is the taxonomy code for Dr. Liston?
The primary taxonomy code is 122300000X – Dentist.
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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