Individual
LISA ANN MIYATAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-4440
(330) 543-4467
Mailing address
1 PERKINS SQ, ED ADMINISTRATION, AKRON, OH 44308-1063
(330) 543-8452
(330) 543-3761
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34.012073
OH
Other
Enumeration date
05/06/2013
Last updated
08/04/2017
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