Humphrey, Lisa

Humphrey, Lisa is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Humphrey, Lisa can be contacted via phone (614) 722-4200.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205
Fax: (614) 722-4203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-095153 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 35095153 Ohio

Profile Details

NPI number 1962623546
LBN Legal business name Humphrey, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Mar 16th, 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 1962623546 NPPES
Ohio Other H185751 CGS - MEDICARE
Ohio MEDICAID 3039161 CGS - MEDICARE

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