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NPI Code Detail

MEDICARE: LISA ELLEN BARTON

MEDICARE: LISA ELLEN BARTON
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
1175T00000XPeer SpecialistAPS.005799OH

General Provider Information

NPI Number : 1588469001
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ELLEN BARTON
Provider Business Mailing Address
First Line : 140 E TOWN ST STE 1450
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-6601
Country : US
Telephone Number : 614-639-6590
Fax Number :
Provider Business Practice Location Address
First Line : 822 MARKET ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-3758
Country : US
Telephone Number : 740-672-3060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2025
Last Update Date : 02/18/2025

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Directions to “ LISA ELLEN BARTON ” Practice Location

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