Individual
LISA KOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1050 NEAL ZICK RD, WILLARD, OH 44890-9288
(419) 935-6511
Mailing address
1 TIMOTHY AVE, WILLARD, OH 44890-1632
(419) 933-3058
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
RN319347
OH
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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