Individual
LISA ANN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 E 44TH ST, SHADYSIDE, OH 43947-1207
(740) 310-3035
Mailing address
15 E 44TH ST, SHADYSIDE, OH 43947-1207
(740) 310-3035
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125553494
—
WV
05
—
1356607394
—
WV
05
—
1821206228
—
WV
Enumeration date
11/20/2024
Last updated
11/20/2024
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