Teresa Lynn Lisum
NPI #1255978060 in Newton Falls, Ohio
Provider Information
- NPI Number
- 1255978060
- Entity Type
- Individual
- Name
- Teresa Lynn Lisum
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Nov 30, 2019
- Last Updated
- Nov 30, 2019
Practice Location
- Address
- 5261 BROADWAY AVE
- City
- Newton Falls
- State
- Ohio
- ZIP Code
- 44444-1893
- Phone
- (330) 307-7296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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