Individual
LISA MARIE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
245 CHARLOTTE AVE, LEBANON, OH 45036-1104
(513) 324-1883
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
LE.00020382
OH
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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