Individual
LISA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, SCHOOL NURSE
Contact information
Practice address
2660 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6416
(937) 458-2481
(937) 429-7623
Mailing address
2660 DAYTON XENIA RD, BEAVERCREEK, OH 45431
(937) 458-2481
(937) 429-7623
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN336942
OH
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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