Individual
LISA GALE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7326 STATE ROUTE 19 UNIT 2909, MOUNT GILEAD, OH 43338-9496
(419) 688-2500
Mailing address
7326 STATE ROUTE 19 UNIT 2909, MOUNT GILEAD, OH 43338-9496
(419) 688-2500
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN089614
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157731
—
OH
Enumeration date
03/27/2008
Last updated
03/27/2008
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