Individual
MS. LISA MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5650 BLAZER PKWY, DUBLIN, OH 43017-3562
(614) 734-8462
Mailing address
4199 PARKMEAD DR, GROVE CITY, OH 43123-3991
(614) 991-4664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-08018
OH
Other
Enumeration date
03/18/2008
Last updated
05/18/2008
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