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Individual

MISS LISA GAY LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8065 BELL ST, WHEELERSBURG, OH 45694
(740) 574-2401
Mailing address
PO BOX 342, 166 RICHARDS RD, MINFORD, OH 45653
(740) 820-3957

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2631405
OH
Enumeration date
06/06/2007
Last updated
07/08/2007
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