Fugate, Lisa P.
Fugate, Lisa P. is an individual health care provider with primary practice located at 480 Medical Center Dr , Columbus OH 43210. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Fugate, Lisa P. can be contacted via phone (614) 293-7604.Contact Information
Primary practice address
480 Medical Center Dr
Columbus OH 43210
Phone: (614) 293-7604
Fax: (614) 293-3809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35062775F | Ohio |
| Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine | 2081P0004X | 35.06.2755 | Ohio |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 35.06.2775 | Ohio |
Profile Details
| NPI number | 1982795456 |
|---|---|
| LBN Legal business name | Fugate, Lisa P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Nov 26th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982795456 | NPPES |
| Ohio | MEDICAID | 2025418 |
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