Individual
DR. LISETTE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
600 N PICKAWAY ST STE 200, CIRCLEVILLE, OH 43113-1447
(614) 533-5500
(614) 533-0103
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO6775
FL
2084N0400X
Neurology Physician
Primary
34.017288
OH
2084N0400X
Neurology Physician
OS17146
FL
2084N0400X
Neurology Physician
UO6775
FL
Other
Enumeration date
03/22/2019
Last updated
07/23/2024
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