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Individual

MRS. LISHA LYNN HAUPT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
17242 WOLFE RD, LAURELVILLE, OH 43135
(740) 332-4287
Mailing address
17242 WOLFE RD, LAURELVILLE, OH 43135
(740) 332-4287
(740) 332-4287

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
327230
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2134658
OH
Enumeration date
02/20/2007
Last updated
02/26/2015
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