Individual
MARGARET ELLEN LYSAGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.343514-COA1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.13954-NP
OH
Other
Enumeration date
11/16/2012
Last updated
08/23/2017
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