Diponio, Lisa A

Diponio, Lisa A is an individual health care provider with primary practice located at 325 East Eisenhower Pkwy Suite 100, Ann Arbor MI 48108-3364. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is her primary health care specialty. Diponio, Lisa A can be contacted via phone (734) 936-7175.

Contact Information

Primary practice address
325 East Eisenhower Pkwy Suite 100 Ann Arbor MI 48108-3364
Phone: (734) 936-7175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 4301066405 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301066405 Michigan

Profile Details

NPI number 1093897977
LBN Legal business name Diponio, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Mar 1st, 2012 - about 12 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 1093897977 NPPES
Michigan MEDICAID 4138413

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