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Individual

MRS. LISA LYNN KNISKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

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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