Individual
LISA M SCHOMOGYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2510 E DUPONT RD, SUITE 210, FORT WAYNE, IN 46825-1600
(260) 969-2990
Mailing address
10351 DAWSONS CREEK BLVD, SUITE D, FORT WAYNE, IN 46825-1904
(260) 969-1950
(260) 969-0988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01049376A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031417
MPLAN PARKVIEW
—
01
—
000000379760
ANTHEM
IN
01
—
0670165
CIGNA
—
05
—
200190090
—
IN
01
—
203267938
INDIANA HEALTH NETWORK
—
01
—
9689
PHYSICIANS HEALTH PLAN
—
01
—
P00326116
RAILROAD MEDICARE
—
Enumeration date
01/23/2006
Last updated
02/02/2009
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