Individual
LISA KOLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4360 BRECKSVILLE RD, RICHFIELD, OH 44286-9457
(731) 394-1145
Mailing address
36 PEMBERTON CV, JACKSON, TN 38305-5514
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0033112
OH
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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