IndividualActive
Blaine Lisner, M.D.
NPI 1629085949 · Neurology Physician · Louisville, KY
Provider details
- NPI number
- 1629085949
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25368 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3747 Diann Marie Rd
Louisville, KY 40241
Phone: (502) 426-9200
Fax: (502) 426-9259
Approximate (ZIP-level) locationGet directions
Mailing address
3707 Chamberlain Lane
Louisville, KY 40241-2091
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2021-08-05
- Certified
- 2021-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.