NPI 1093379737

Lisa Marie Shoulders, PAC

Practitioner Physician Assistant Westerville, OH

Practice location

Address: 6100 N Hamilton Rd, Westerville, OH 43081-2062
Phone: (614) 293-6255
Fax: (614) 293-8518
Mailing address: 700 Ackerman Rd STE 2120, Columbus, OH 43202-1559

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 50.007564RX (OH)

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Registry record

NPI: 1093379737
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2019
Record last updated: 17 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.