COLIN B LISENBY MD
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1679922652- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 9828 E SHANNON WOODS CIR STE 100, WICHITA, KS, 672264100
- Phone
- (316) 631-1600
- Fax
- (316) 631-1617
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: KS #04-41606