Provider Demographics
NPI:1134828437
Name:STRONG, LISA (DC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 HOPEWELL RD S
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43746-9727
Mailing Address - Country:US
Mailing Address - Phone:740-270-4039
Mailing Address - Fax:
Practice Address - Street 1:7095 MUTTON RIDGE RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-8171
Practice Address - Country:US
Practice Address - Phone:740-270-4039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health