Individual
MRS. LISA MARIE KUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1170 E BROAD ST STE 102, ELYRIA, OH 44035-6351
(440) 323-3574
Mailing address
1170 E BROAD ST STE 102, ELYRIA, OH 44035-6351
(440) 371-9824
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRNCNP021848
OH
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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