Provider Demographics
NPI:1073688776
Name:FORD, LISA RICHER (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:RICHER
Last Name:FORD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2600 SIXTH STREET SW
Mailing Address - Street 2:HARTER 266
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44710
Mailing Address - Country:US
Mailing Address - Phone:330-438-7430
Mailing Address - Fax:330-580-5542
Practice Address - Street 1:2600 SIXTH STREET SW
Practice Address - Street 2:HARTER 266
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710
Practice Address - Country:US
Practice Address - Phone:330-438-7430
Practice Address - Fax:330-580-5542
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-11-04
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Provider Licenses
StateLicense IDTaxonomies
OH35-08-85842080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine