Provider Demographics
NPI:1952017089
Name:TODMAN, LISA M (RHIT)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:M
Last Name:TODMAN
Suffix:
Gender:F
Credentials:RHIT
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:M
Other - Last Name:TODMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RHIT
Mailing Address - Street 1:227 ODYSSEY TURN
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3686
Mailing Address - Country:US
Mailing Address - Phone:678-200-2973
Mailing Address - Fax:
Practice Address - Street 1:2795 MAIN ST W
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3164
Practice Address - Country:US
Practice Address - Phone:678-200-2973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA070305396172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver