Organization
LISA LARKIN, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA C LARKIN MD (PRESIDENT)
(513) 271-5111
Entity
Organization
Contact information
Practice address
4460 RED BANK EXPY, SUITE 100, CINCINNATI, OH 45227-1548
(513) 271-5111
(513) 272-7084
Mailing address
1315 SOLUTIONS CENTER, CHICAGO, IL 60677-1003
(513) 421-3504
(513) 231-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2333719
—
OH
05
—
65937351
—
KY
01
—
CK3758
RR MCR
OH
Enumeration date
10/18/2005
Last updated
02/26/2010
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