Individual
MISS LISA MICHELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 E ING ST APT 1, KINGSTON, OH 45644-9574
(740) 642-2879
Mailing address
7500 HEMRICH DR, CANAL WINCHESTER, OH 43110-8092
(614) 440-6779
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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