Physician Compare National (NPI:1952397838)

HEALTHCARE PROVIDER: LISA ANN BURNS-SERRANO M.D.

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

Individual Professional Information
NPI	1952397838
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941485114
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110503000651
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURNS-SERRANO
	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.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	417 HILL N RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	PICKERINGTON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	431471310
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360358
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DILEY RIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y