Individual
LISA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
633 N UNION ST, UNION CITY, IN 47390-1131
(937) 459-6819
Mailing address
633 N UNION ST, UNION CITY, IN 47390-1131
(937) 459-6819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.104422-MEDS
OH
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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