Physician Compare National (NPI:1205977816)

HEALTHCARE PROVIDER: LISA ANN HOMIC D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205977816
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224934351
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031210000228
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOMIC
	Individual professional last name
Provider First Name	LISA
	Individual professional first name
Provider Middle Name	ANN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	33 WILLIAMS ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 10
	Group Practice or individual's line 2 address
City	AUBURN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	130213730
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3152771362
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y