Individual
DR. LISA BOHMAN EGBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3533 SOUTHERN BLVD STE 4600, KETTERING, OH 45429-1273
(937) 296-0167
(937) 630-3018
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35067040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066179
—
OH
01
—
2195193
AETNA
OH
01
—
311493673
CARESOURCE
OH
01
—
74047
BC/BS
OH
01
—
D6704004
CHOICECARE
OH
Enumeration date
05/05/2006
Last updated
04/20/2026
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