Individual
MRS. LISA LYNN KNISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3685 STUTZ DR STE 101, CANFIELD, OH 44406-9155
(330) 259-0440
(330) 259-0441
Mailing address
3685 STUTZ DR STE 101, CANFIELD, OH 44406-9155
(330) 259-0440
(330) 259-0441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP10260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398314
—
OH
Enumeration date
02/10/2009
Last updated
06/23/2011
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