Individual
LISA C MCCUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-4061
(513) 584-3349
Mailing address
5700 GLENVIEW AVE, CINCINNATI, OH 45224-2812
(513) 739-0554
(513) 584-3349
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRNCNP0032787
OH
363LA2200X
Adult Health Nurse Practitioner
LE-00043711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LE-00043711
CNP NURSING LICENSE
—
Enumeration date
12/15/2022
Last updated
12/28/2022
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