Individual
DR. LISA A MALYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3477 COMMERCE PKWY, SUITE A, WOOSTER, OH 44691-7126
(330) 601-0999
(330) 601-0935
Mailing address
3477 COMMERCE PKWY, SUITE A, WOOSTER, OH 44691-7126
(330) 601-0999
(330) 601-0935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34011290
OH
207Q00000X
Family Medicine Physician
OS014900
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OS014900
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104063
—
OH
Enumeration date
07/29/2008
Last updated
08/16/2016
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