Organization
LISA M. LUBKEMAN-SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIE LUBKEMAN-SMITH LISW (SOLE PROPRIETOR/THERAPIST)
(614) 404-2088
Entity
Organization
Contact information
Practice address
3736 N HIGH ST, SUITE 102, COLUMBUS, OH 43214-3523
(614) 404-2088
Mailing address
3736 N HIGH ST, SUITE 102, COLUMBUS, OH 43214-3523
(614) 404-2088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I4970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I4970
SOCIAL WORKER CLINICAL 1041C0700X
OH
Enumeration date
04/22/2012
Last updated
04/27/2015
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