Individual
MRS. LISA JO AICHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1400 W MAIN ST, BELLEVUE, OH 44811-9088
(419) 483-4040
(419) 483-1307
Mailing address
202 N CENTER ST, NEW WASHINGTON, OH 44854-9703
(419) 492-3334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-08003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2606399
—
OH
Enumeration date
04/12/2007
Last updated
07/08/2007
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