Individual
DR. LISA W JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35063159
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075277
ANTHEM
OH
01
—
050071503
RAILROAD MEDICARE
OH
05
—
0883898
—
OH
Enumeration date
08/22/2006
Last updated
05/31/2017
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