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NPI Code Detail

MEDICARE: LISA BRISTEL

MEDICARE:   LISA  BRISTEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency2755013OH

General Provider Information

NPI Number : 1306715628
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA BRISTEL
Provider Business Mailing Address
First Line : 6929 ELLEN BOAT LN
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-7913
Country : US
Telephone Number : 614-373-8085
Fax Number :
Provider Business Practice Location Address
First Line : 6929 ELLEN BOAT LN
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-7913
Country : US
Telephone Number : 614-373-8085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2025
Last Update Date : 11/04/2025

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Directions to “ LISA BRISTEL ” Practice Location

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