Individual
LISA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4302 DAWNSHIRE DR, PARMA, OH 44134-3344
(234) 567-6788
Mailing address
4302 DAWNSHIRE DR, PARMA, OH 44134-3344
(234) 567-6788
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
364167
OH
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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