Individual
MS. LISA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPL. OM, L.AC.
Contact information
Practice address
422 COLUMBUS AVE, SANDUSKY, OH 44870-2726
(419) 625-0707
(419) 502-0217
Mailing address
422 COLUMBUS AVE, SANDUSKY, OH 44870-2726
(419) 625-0707
(419) 502-0217
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000188
OH
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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