Individual
MRS. LISA ANN LACKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5520 BROADVIEW RD, PARMA, OH 44134-1605
(216) 749-4010
Mailing address
7718 YORK RD, PARMA, OH 44130-7312
(440) 843-7503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 05701
OH
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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