Individual
DR. LISA ANN KNOBLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
Mailing address
5802 MEADOWBROOK LN, HILLIARD, OH 43026-7340
(614) 529-8869
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30-019797
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037807
—
OH
Enumeration date
01/16/2007
Last updated
07/08/2007
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