Healthcare Provider Details

I. General information

NPI: 1730661703
Provider Name (Legal Business Name): LISA TAORMINA DINGMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 BELMONT AVE STE B
YOUNGSTOWN OH
44505-2401
US

IV. Provider business mailing address

1001 COVINGTON ST
YOUNGSTOWN OH
44510-1617
US

V. Phone/Fax

Practice location:
  • Phone: 330-480-3033
  • Fax: 330-480-2568
Mailing address:
  • Phone: 330-480-3033
  • Fax: 330-480-2568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN272478
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: