Individual
LISA HEAVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
794 MCPHERSON AVE, CINCINNATI, OH 45205-2138
(513) 383-1530
Mailing address
794 MCPHERSON AVE, CINCINNATI, OH 45205-2138
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.007177
OH
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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