Individual
LISA A. THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 631-5050
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 631-5050
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
00449
OH
Other
Enumeration date
12/15/2017
Last updated
06/09/2022
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