Individual
LISA HAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7802 N POLE RD, RIPLEY, OH 45167-8954
(513) 658-1379
Mailing address
7802 N POLE RD, RIPLEY, OH 45167-8954
(513) 658-1379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.308174
OH
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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