Individual
LISA HOLSINGER-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5623 BUCKNECK RD, BRADFORD, OH 45308-9427
(937) 572-8893
Mailing address
5623 BUCKNECK RD, BRADFORD, OH 45308-9427
(937) 572-8893
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299285
—
OH
Enumeration date
10/08/2020
Last updated
10/08/2020
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