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NPI Code Detail

MEDICARE: LISA WHITNEY FLOWER D.O.

MEDICARE: LISA WHITNEY FLOWER D.O.
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
1208000000XPediatrics Physician02594KY
2208000000XPediatrics Physician34.004936OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639111461
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA WHITNEY FLOWER D.O.
Provider Business Mailing Address
First Line : 300 HIGH ST FL 4
Second Line :
City : HAMILTON
State : OH
Zip : 45011-6078
Country : US
Telephone Number : 513-454-1460
Fax Number : 740-446-5711
Provider Business Practice Location Address
First Line : 1036 S VERITY PKWY
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-5513
Country : US
Telephone Number : 513-454-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 08/18/2021

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