Individual
LISA MARGARET NOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3113 BELLEVUE AVE, CINCINNATI, OH 45219-3158
(513) 475-8730
(513) 475-8033
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01087800A
IN
2084N0400X
Neurology Physician
Primary
35.144209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103151988
ANTHEM PTAN
IN
05
—
300088317
—
IN
Enumeration date
04/08/2018
Last updated
03/05/2025
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