Individual
LISA J WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 CAMPBELL DR, IRONTON, OH 45638-2301
(740) 534-9202
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-4858
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.448972
OH
163WC0400X
Case Management Registered Nurse
RN.448972
OH
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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