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Individual

LISA MARIE SCHULZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
423 E 327TH ST, WILLOWICK, OH 44095-3315
(216) 333-9490
Mailing address
423 E 327TH ST, WILLOWICK, OH 44095-3315
(216) 333-9490

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0256813
OH
Enumeration date
05/30/2019
Last updated
05/30/2019
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