Provider Demographics
NPI:1497709893
Name:LIONBERGER, MARGARET J (DO)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:J
Last Name:LIONBERGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-589-3100
Mailing Address - Fax:740-589-3127
Practice Address - Street 1:2131 E STATE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2138
Practice Address - Country:US
Practice Address - Phone:740-589-3100
Practice Address - Fax:740-589-3127
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.007820207Q00000X
OH35-00-7820207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2454080Medicaid
OH2454080OtherMOLINA MEDICAID
WV2006667000Medicaid
OH310917085131OtherCARESOURCE MEDICAID
000000324121OtherANTHEM BCBS
P00347425OtherRR MEDICARE
OH000000181870OtherUNISON MEDICAID
OH2454080OtherMOLINA MEDICAID
P00347425OtherRR MEDICARE