Organization Name: | LISA KNIGHT FLAREY, D.O., INC. |
NPI Number: | 1801123807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA FLAREY (OWNER) |
Mailing Address: | 945 Bethesda Dr Suite 240 Zanesville |
State: | OH US |
Postal Code: | 437010801 |
Phone Number: | 6142971158 |
Fax Number: | 6142993406 |
NPI Enumeration Date: | 11/11/2009 |
NPI Last Update Date: | 11/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34007956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |