Fugate, Lisa P.

Fugate, Lisa P. is an individual health care provider with primary practice located at 480 Medical Center Dr , Columbus OH 43210. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Fugate, Lisa P. can be contacted via phone (614) 293-7604.

Contact Information

Primary practice address
480 Medical Center Dr Columbus OH 43210
Phone: (614) 293-7604
Fax: (614) 293-3809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35062775F Ohio
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 35.06.2755 Ohio
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 35.06.2775 Ohio

Profile Details

NPI number 1982795456
LBN Legal business name Fugate, Lisa P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 26th, 2012 - about 13 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 1982795456 NPPES
Ohio MEDICAID 2025418

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