Provider Demographics
NPI:1659875565
Name:MCARTHUR, LISA REBECCA (NP-C)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:REBECCA
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:REVKAH
Other - Middle Name:
Other - Last Name:BALINGIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:831 E LONGVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-3921
Mailing Address - Country:US
Mailing Address - Phone:149-718-5346
Mailing Address - Fax:
Practice Address - Street 1:2 EASTON OVAL STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6042
Practice Address - Country:US
Practice Address - Phone:144-140-5006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031131363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology