Individual
LISA ROSE OHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 LONG GROVE DR UNIT 104, MOUNT PLEASANT, SC 29464-7103
(440) 396-6913
Mailing address
1480 LONG GROVE DR UNIT 104, MOUNT PLEASANT, SC 29464-7103
(440) 396-6913
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
236695
SC
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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