Individual
LALISA FASANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ETC
Contact information
Practice address
835 HEATHERSTONE DR, CINCINNATI, OH 45240-2545
(513) 304-6647
Mailing address
2701 E TOWER DR APT 104, CINCINNATI, OH 45238-2634
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
02/03/2025
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