Individual
MRS. LISA L WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 FOX RUN RD, DAYTON, OH 45459-3416
(937) 499-4043
Mailing address
PO BOX 751994, DAYTON, OH 45475-1994
(937) 499-4043
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN.317629
OH
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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