Individual
LISA ANN POPOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP -BC
Contact information
Practice address
3703 CANON RIDGE PL, COLUMBUS, OH 43230-4010
(614) 214-4223
Mailing address
5038 COMMON GOOD LN, DUBLIN, OH 43016-9700
(614) 214-4223
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0027812
OH
363LA2200X
Adult Health Nurse Practitioner
419374
OH
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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