Provider Demographics
NPI:1659683779
Name:ABRAHAMYAN, LUSINE (MD)
Entity Type:Individual
Prefix:
First Name:LUSINE
Middle Name:
Last Name:ABRAHAMYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 W STATE ST
Mailing Address - Street 2:3N-12, COLUMBUS INPATIENT CARE, MOUNT CARMEL WEST HOSP.
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-1551
Mailing Address - Country:US
Mailing Address - Phone:614-234-4242
Mailing Address - Fax:614-234-3801
Practice Address - Street 1:793 W STATE ST
Practice Address - Street 2:3N-12, COLUMBUS INPATIENT CARE, MOUNT CARMEL WEST HOSP.
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1551
Practice Address - Country:US
Practice Address - Phone:614-234-4242
Practice Address - Fax:614-234-3801
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.120261207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine