Individual
LANISHA GREER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 FREDDIE DR, CINCINNATI, OH 45205-1307
(513) 908-0740
Mailing address
3321 FREDDIE DR, CINCINNATI, OH 45205-1307
(513) 908-0740
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209442
—
OH
Enumeration date
04/22/2017
Last updated
04/22/2017
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