Individual
MRS. LISA DIANE MCCOY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5267 HORSESHOE DR S, ORIENT, OH 43146-9059
(614) 539-0075
Mailing address
5267 HORSESHOE DR S, ORIENT, OH 43146-9059
(614) 539-0075
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 299357
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2230455
—
OH
01
—
RN-299357
RN LICENSE #
OH
Enumeration date
03/08/2006
Last updated
07/09/2007
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