Individual
LISA A KRUMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17853 STATE ROUTE 31, MARYSVILLE, OH 43040-8520
(937) 578-4210
(937) 578-4220
Mailing address
17853 STATE ROUTE 31, MARYSVILLE, OH 43040-8520
(937) 578-4210
(937) 578-4220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.077438
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2777740
—
OH
Enumeration date
06/22/2006
Last updated
11/08/2023
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