Individual
LISA KUBICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7986 CANAL FULTON RD, MARSHALLVILLE, OH 44645-9500
(234) 521-3865
Mailing address
7986 CANAL FULTON RD, MARSHALLVILLE, OH 44645-9500
(234) 521-3865
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/05/2024
Last updated
02/12/2025
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