Doctor Name: | DR. LISA BOHMAN EGBERT |
NPI Number: | 1457309973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35067040 |
Business Practice Address: | 5335 Far Hills Avenue Suite 112 Dayton, OH - 45429 |
Business Phone Number: | 9374338212 |
Business Fax Number: | 9374338246 |
Mailing Address: | 5335 Far Hills Ave, Suite 112 DAYTON |
State: | OH |
Postal Code: | 454292350 |
Phone Number: | 9374338212 |
Fax Number: | 9374338246 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 35067040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |