Individual
MRS. LISA M MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
444 W EXCHANGE ST, AKRON, OH 44302-1711
(330) 535-2671
Mailing address
4912 SHANKS PHALANX RD, SOUTHINGTON, OH 44470-9534
(330) 360-5415
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.021517
OH
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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