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Individual

MRS. LILLIAN MONISOLA HAASTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHCNS-BC

Contact information

Practice address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
(614) 752-0383
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
(614) 752-0383

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN 341630
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN341630
OH
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
NS-15433
OH

Other

Enumeration date
04/28/2009
Last updated
07/01/2014
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