Individual
LISA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-1000
Mailing address
2325 WYANDOTTE AVE, CUYAHOGA FALLS, OH 44223-1048
(330) 329-1504
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
337486
OH
Other
Enumeration date
07/15/2021
Last updated
07/28/2021
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