Individual
LISA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3670 WINDSONG DR, MEDINA, OH 44256-6768
(440) 554-9368
Mailing address
3670 WINDSONG DR, MEDINA, OH 44256-6768
(440) 554-9368
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
RF692423
OH
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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