Individual
MRS. LISA JENNIFER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
70 MADISON RD, MANSFIELD, OH 44905-2831
(419) 589-9700
(419) 589-2731
Mailing address
1025 S TRIMBLE RD, MANSFIELD, OH 44906-3427
(419) 589-9700
(419) 589-2103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.11067-NP
OH
Other
Enumeration date
12/11/2009
Last updated
03/08/2016
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