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Individual
LISA RUCKER
Active
Individual
LISA RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
373366980494
OH
3747A0650X
Attendant Care Provider
373366980494
OH
3747P1801X
Personal Care Attendant
373366980494
OH
374U00000X
Home Health Aide
373366980494
OH
376J00000X
Homemaker
373366980494
OH
376K00000X
Nurse's Aide
373366980494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069
—
OH
Enumeration date
09/12/2014
Last updated
05/22/2025
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