Lee, Lisa J

Lee, Lisa J is an individual health care provider with primary practice located at 730 W Market St , Lima OH 45801-4602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Lee, Lisa J can be contacted via phone (419) 227-3361.

Contact Information

Primary practice address
730 W Market St Lima OH 45801-4602
Phone: (419) 227-3361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.079096 Ohio

Profile Details

NPI number 1932169315
LBN Legal business name Lee, Lisa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932169315 NPPES
Ohio Other 000000202854 ANTHEM BCBS
Ohio MEDICAID 2250282 ANTHEM BCBS

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