Miss Lisa Marie Bushman, is a
Dietitian, Registered based in Buryrus, Ohio. Miss Lisa Marie Bushman is licensed to practice in Ohio (license number 10171) and her current practice location is
629 N Sandus Ky Ave, Buryrus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 562-4677.
NPI number for Miss Lisa Marie Bushman is 1588674881 and her current mailing address is 71 Village Gate Blvd, Delaware, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588674881.
Healthcare Provider's Profile
Full Name | Miss Lisa Marie Bushman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 629 N Sandus Ky Ave, Buryrus, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588674881
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Miss Lisa Marie Bushman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588674881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 10171 (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. Miss Lisa Marie Bushman 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 |
Miss Lisa Marie Bushman, 71 Village Gate Blvd, Delaware, OH 43015 Ph: (614) 580-0470 | Miss Lisa Marie Bushman, 629 N Sandus Ky Ave, Buryrus, OH 44820 Ph: (419) 562-4677 |
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