Individual
LISHA BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1999 BRYDEN RD STE 1, COLUMBUS, OH 43205-1665
(614) 735-4133
Mailing address
1999 BRYDEN RD STE 1, COLUMBUS, OH 43205-1665
(614) 735-4133
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
4769242
OH
175T00000X
Peer Specialist
—
OH
347C00000X
Private Vehicle
4769242
OH
Other
Enumeration date
03/27/2024
Last updated
04/19/2024
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