Individual
LISA CUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP, RRT
Contact information
Practice address
820 E CENTER ST, BLANCHESTER, OH 45107-1310
(937) 783-4949
Mailing address
1223 PHILLIPS AVE, DAYTON, OH 45410-2634
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
RCP.13311
OH
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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