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NPI Code Detail

MEDICARE: LIZA S PAUL LISW

MEDICARE: LIZA S PAUL LISW
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
11041C0700XClinical Social WorkerI.1200989-SUPVOH

General Provider Information

NPI Number : 1407715782
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZA S PAUL LISW
Provider Business Mailing Address
First Line : 3433 AGLER RD STE 2800
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-3389
Country : US
Telephone Number : 614-859-1906
Fax Number : 614-458-1849
Provider Business Practice Location Address
First Line : 1905 PARSONS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1933
Country : US
Telephone Number : 614-586-4159
Fax Number : 614-586-4252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ LIZA S PAUL LISW” Practice Location

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