Individual
MRS. LISA J THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1520 S MAIN ST, DAYTON, OH 45409-2698
(937) 461-5815
Mailing address
1520 S MAIN ST, DAYTON, OH 45409-2698
(937) 461-5815
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN230360
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA16504-NP
OH
Other
Enumeration date
02/26/2009
Last updated
10/17/2014
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