Healthcare Provider Details

I. General information

NPI: 1801023965
Provider Name (Legal Business Name): LISA J HOBBINS PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 W BOWERY ST
AKRON OH
44307-2573
US

IV. Provider business mailing address

282 W BOWERY ST
AKRON OH
44307-2573
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-4600
  • Fax: 330-643-0767
Mailing address:
  • Phone: 330-996-4600
  • Fax: 330-643-0767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.0501371
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: