Individual
LISA M FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 HOSPITAL DR, ML E02500C, BATAVIA, OH 45103-1921
(513) 732-8629
(513) 732-8626
Mailing address
3000 HOSPITAL DR, ML E02500C, BATAVIA, OH 45103-1921
(513) 732-8629
(513) 732-8626
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35093123
OH
2084P0800X
Psychiatry Physician
43939
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2969784
—
OH
05
—
7100103510
—
KY
Enumeration date
05/25/2007
Last updated
12/02/2011
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