Individual
LISA Z MEWHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4030 WEST HENDERSON RD, COLUMBUS, OH 43220-2287
(614) 442-7550
(614) 442-4100
Mailing address
4030 WEST HENDERSON RD, COLUMBUS, OH 43220-2287
(614) 442-7550
(614) 442-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.098232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068328
—
OH
Enumeration date
08/06/2009
Last updated
12/13/2012
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