Healthcare Provider Details

I. General information

NPI: 1376658500
Provider Name (Legal Business Name): LISA C ZAPOTOCKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA C ALLSHOUSE MD

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 STONERIDGE LN STE B
DUBLIN OH
43017-2289
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-1985
  • Fax: 614-688-6280
Mailing address:
  • Phone: 614-685-1985
  • Fax: 614-688-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.081768
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: