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NPI Code Detail

MEDICARE: LIZA BENNETT CANOWITZ CNM

MEDICARE: LIZA BENNETT CANOWITZ CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeAPRN.CNM.08629OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346213089
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZA BENNETT CANOWITZ CNM
Provider Business Mailing Address
First Line : 921 JASONWAY AVE STE B
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2456
Country : US
Telephone Number : 614-268-8800
Fax Number : 614-447-8876
Provider Business Practice Location Address
First Line : 921 JASONWAY AVE STE B
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2456
Country : US
Telephone Number : 614-268-8800
Fax Number : 614-447-8876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 06/30/2025

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Directions to “ LIZA BENNETT CANOWITZ CNM” Practice Location

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