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Organization
LISA HISSONG
Active
Organization
LISA HISSONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE HISSONG (LPN)
(337) 301-1272
Entity
Organization
Contact information
Practice address
949 GUCKERT AVE, NEWARK, OH 43055-2635
(337) 301-1272
Mailing address
949 GUCKERT AVE, NEWARK, OH 43055-2635
(337) 301-1272
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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