Individual
LISA KIM MAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 WESTPORT DR, KINGS MILLS, OH 45034-9733
(513) 325-9247
Mailing address
1726 WESTPORT DR, KINGS MILLS, OH 45034-9733
(513) 325-9247
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RU204038
OH
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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