Individual
LISA CHRISTINE MONTGOMERY GODINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
739 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1056
(330) 344-8560
(330) 922-5405
Mailing address
739 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1056
(330) 344-8560
(330) 922-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-125855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122756
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
04/03/2012
Last updated
01/13/2016
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