Demidowich, Lisa

Demidowich, Lisa is an sole proprietor health care provider with primary practice located at 2286 Crosswind Dr Ste C , Prescott AZ 86301-6100. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Demidowich, Lisa can be contacted via phone (928) 225-2540.

Contact Information

Primary practice address
2286 Crosswind Dr Ste C Prescott AZ 86301-6100
Phone: (928) 225-2540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0844 Arizona

Profile Details

NPI number 1235545278
LBN Legal business name Demidowich, Lisa
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2014
Last updated Sep 5th, 2019 - about 5 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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