Individual
LISA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCPSA
Contact information
Practice address
915 S RIVERSIDE DR NE, MCCONNELSVILLE, OH 43756-9102
(740) 962-6933
Mailing address
PO BOX 522, MCCONNELSVILLE, OH 43756-0522
(740) 962-6933
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
OCPSA.161496
OH
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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