OrganizationActive
Lisenby Podiatry
NPI 1104990415 · Podiatrist · Dothan, AL
Provider details
- NPI number
- 1104990415
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Robert Lisenby, President(334) 671-1441
- License
- 511 (GA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1550 E Main St
Dothan, AL 36301-3012
Phone: (334) 671-1441
Fax: (334) 671-1688
Approximate (ZIP-level) locationGet directions
Mailing address
1550 E Main St
Dothan, AL 36301-3012
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2009-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.