Falotico, Lisa T

Falotico, Lisa T is an individual health care provider with primary practice located at 10515 Illinois Rd , Fort Wayne IN 46814-9182. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Falotico, Lisa T can be contacted via phone (260) 373-9200.

Contact Information

Primary practice address
10515 Illinois Rd Fort Wayne IN 46814-9182
Phone: (260) 373-9200
Fax: (260) 373-9219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02003848A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02003848A Indiana

Profile Details

NPI number 1528266814
LBN Legal business name Falotico, Lisa T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2007
Last updated Oct 20th, 2022 - about 3 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 1528266814 NPPES
Indiana MEDICAID 201021560

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