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DR. BLAINE M LISNER M.D.
NPI 1629085949
Psychiatry & Neurology - Neurology in Louisville, KY

Active since August 01, 2006
3747 DIANN MARIE RD, LOUISVILLE, KY 40241(502) 426-9200(502) 426-9259 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Blaine M Lisner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAINE M LISNER M.D. (NPI 1629085949) is an individual neurology provider in Louisville, Kentucky, licensed in Kentucky (25368) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1629085949
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BLAINE M LISNERCredential: M.D.
Location Address3747 DIANN MARIE RDLouisville, KY 40241
Mailing Address3707 Chamberlain Lane, Suite 101Louisville, KY 40241-2091 · (502) 426-9200 · Fax (502) 426-9259
Phone(502) 426-9200
Fax(502) 426-9259
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 5, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1629085949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in KY · 25368
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3747 DIANN MARIE RD, Louisville, KY 40241
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Other Identifiers 3

Other279500Medicare Group
OtherP00230839Railroad Medicare
Medicaid036065238 2IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYNAMIC MEDICAL AND REHAB, LLC
Durable Medical Equipment & Medical Supplies
3747 DIANN MARIE RD
LOUISVILLE, KY 40241
Jefferson County (502) 426-9200
DYNAMIC MEDICAL AND REHAB PLLC
Psychiatry & Neurology (Neurology)
3747 DIANN MARIE RD
LOUISVILLE, KY 40241
Jefferson County (502) 426-9200
JUDITH R RICHERT OD
Optometrist
3747 DIANN MARIE RD
LOUISVILLE, KY 40241
Jefferson County (502) 394-9131
PAUL J CONSTANTE DC
Chiropractor
3747 DIANN MARIE RD
LOUISVILLE, KY 40241
Jefferson County (502) 426-9200
DYNAMIC CHIROPRACTIC PLLC
Chiropractor
3747 DIANN MARIE RD
LOUISVILLE, KY 40241
Jefferson County (502) 426-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine Lisner's NPI number?

The NPI number for Blaine Lisner is 1629085949. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Blaine Lisner located?

Blaine Lisner practices at 3747 Diann Marie Rd, Louisville, KY 40241. The listed phone number is (502) 426-9200.

What is Blaine Lisner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Blaine Lisner was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.