Provider Demographics
NPI:1750598678
Name:RINGSBY, LISA M (CPHT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:M
Last Name:RINGSBY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3688 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-3620
Mailing Address - Country:US
Mailing Address - Phone:330-273-6085
Mailing Address - Fax:330-273-1876
Practice Address - Street 1:3688 CENTER RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3620
Practice Address - Country:US
Practice Address - Phone:330-273-6085
Practice Address - Fax:330-273-1876
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2601-0103-0761-361183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician