Lisy, Todd A.

Lisy, Todd A. is an individual health care provider with primary practice located at 4880 S Main St Suite 4, Akron OH 44319-4474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lisy, Todd A. can be contacted via phone (330) 644-2700.

Contact Information

Primary practice address
4880 S Main St Suite 4 Akron OH 44319-4474
Phone: (330) 644-2700
Fax: (330) 634-1329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-075097 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-075097 Ohio

Profile Details

NPI number 1255321576
LBN Legal business name Lisy, Todd A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 18th, 2019 - about 7 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 1255321576 NPPES
Ohio MEDICAID 2225372

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