Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Demidowich, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235545278

Lisa Demidowich, DPM is a Podiatry in Prescott, Arizona. Graduated from New York College of Podiatric Medicine in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
12
Trained at
New York College of Podiatric Medicine
Licensed in
AZ
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2286 Crosswind Dr Ste C
Prescott, AZ 86301-6100
Phone: (928) 225-2540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 E Indian School Rd, Phoenix, AZ 85012-1839 — (928) 225-2540

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0844 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235545278
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 10, 2014
Last updated in NPPESSeptember 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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