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Individual

LISA M HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3300 BAILEY ST NW, SUITE 104, MASSILLON, OH 44646-3613
(330) 837-3823
(330) 837-8313
Mailing address
3300 BAILEY ST NW, SUITE 104, MASSILLON, OH 44646-3613
(330) 837-3823
(330) 837-8313

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000497
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970022370
RAILROAD MEDICARE
OH
Enumeration date
06/08/2006
Last updated
12/12/2014
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