Individual
LISA R OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3650 DALEFORD RD., SHAKER HEIGHTS, OH 44120
(216) 921-2476
Mailing address
3650 DALEFORD RD, SHAKER HEIGHTS, OH 44120-5255
(216) 921-2476
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
2734778
OH
376K00000X
Nurse's Aide
Primary
400214630203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2734778
—
OH
Enumeration date
04/24/2008
Last updated
04/24/2008
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