Individual
LISA M. HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5150 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 896-9595
(513) 896-4171
Mailing address
5150 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 896-9595
(513) 896-4171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019425
—
OH
01
—
P00856786
MEDICARE RR
OH
Enumeration date
03/23/2006
Last updated
08/11/2011
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