# LISA DISHONGH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912001900
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 030488 | CT | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 10/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010030488CT01 | BCCT | — |
| 01 | — | 061483728 | CTCR | — |
| 01 | — | 06148372804 | POMC | — |
| 01 | — | 061483728046 | ONE | — |
| 01 | — | 0V5983 | HNET | — |
| 01 | — | 1013349 | ATNA | — |
| 01 | — | 160001569 | MCR | — |
| 01 | — | ZP196 | OHP | — |