Individual
LISA L HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
9525 KENWOOD RD STE 2, BLUE ASH, OH 45242-6191
(513) 791-0728
(513) 791-0673
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189755
—
OH
Enumeration date
08/02/2012
Last updated
06/29/2021
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