Ms Lisa Marie Wilson, DIPL OM, LAC is a
Acupuncturist based in Sandusky, Ohio. Ms Lisa Marie Wilson is licensed to practice in Ohio (license number 65.000188) and her current practice location is
422 Columbus Ave, Sandusky, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 625-0707.
NPI number for Ms Lisa Marie Wilson is 1679865174 and her current mailing address is 422 Columbus Ave, Sandusky, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679865174.
Healthcare Provider's Profile
| Full Name | Ms Lisa Marie Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 422 Columbus Ave, Sandusky, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679865174
- Provider Enumeration Date: 05/03/2011
- Last Update Date: 05/03/2011
Medical Identifiers
Medical identifiers for Ms Lisa Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679865174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 65.000188 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lisa Marie Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Lisa Marie Wilson, DIPL OM, LAC
422 Columbus Ave,
Sandusky, OH 44870-2726
Ph: (419) 625-0707 | Ms Lisa Marie Wilson, DIPL OM, LAC
422 Columbus Ave,
Sandusky, OH 44870-2726
Ph: (419) 625-0707 |
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