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Individual

DR. LISA K HEINEMEYER-FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
68 DARST RD, BEAVERCREEK, OH 45440-3442
(937) 531-0132
(937) 531-0134
Mailing address
68 DARST RD, BEAVERCREEK, OH 45440-3442
(937) 531-0132
(937) 531-0134

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35064298H
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000227880
ANTHEM
OH
01
0122513
UNITE HEALTH CARE
OH
01
080191706
RAILROAD MEDICARE
OH
05
0980881
OH
01
24260
NATIONWIDE HEALTH PLAN
OH
01
281697850007
MEDICAL MUTUAL OF OHIO
OH
01
35064298
MEDICAL LICENSE
OH
01
421534506079
CARESOURCE
OH
01
638336
AETNA
OH
01
D64298
HUMANA/CHOICECARE
OH
Enumeration date
05/30/2005
Last updated
01/25/2021
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