Lisa Marie Willis

NPI #1164914701 in Middletown, Ohio

Provider Information

NPI Number
1164914701
Entity Type
Individual
Name
Lisa Marie Willis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 30, 2018
Last Updated
May 30, 2018

Practice Location

Address
909 ELLEN DR
State
Ohio
ZIP Code
45042-3337
Phone
(513) 435-0696

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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