Individual
LISA CORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 MAPLE DRIVE, 15, FRANKFORT, OH 45628-4562
(740) 656-5576
Mailing address
627 E WATER ST, CHILLICOTHE, OH 45601-2757
(740) 656-5576
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0424094
OH
3747P1801X
Personal Care Attendant
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424094
—
OH
Enumeration date
02/01/2021
Last updated
02/01/2021
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