Individual
ALISSA V ACKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
135 N EWING ST, SUITE 303, LANCASTER, OH 43130-3382
(740) 687-8805
(740) 687-8803
Mailing address
1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 43130-4056
(740) 687-8990
(740) 687-8230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35083382
OH
207RI0200X
Infectious Disease Physician
Primary
35083382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2493823
—
OH
Enumeration date
04/26/2007
Last updated
09/29/2016
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