Organization
COLUMBUS EAST INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA J BRAVERMAN M.D. (PARTNER)
(614) 475-6712
Entity
Organization
Contact information
Practice address
1075 BEECHER XING N STE A, GAHANNA, OH 43230-4572
(614) 475-6712
(614) 475-6902
Mailing address
1075-A BEECHER CROSSING NORTH, GAHANNA, OH 43230-8703
(614) 475-6712
(614) 475-6902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35062326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073616
—
OH
Enumeration date
01/16/2007
Last updated
05/07/2008
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