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Individual

LISA KROTZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1922 GLEN SPRINGS DR, FREMONT, OH 43420-3229
(419) 333-2798
(567) 201-2658
Mailing address
1922 GLEN SPRINGS DR, FREMONT, OH 43420-3229
(419) 333-2798
(567) 201-2658

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
CNP022441
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0268678
OH
Enumeration date
02/09/2018
Last updated
11/05/2024
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