Lenisa Harris Cooper, INDEPENDENT PROVIDER

NPI #1447880695 in Frankfort, Ohio

Provider Information

NPI Number: 1447880695
Entity Type: Individual
Name: Lenisa Harris Cooper, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: INDEPENDENT PROVIDER
Enumeration Date: Jan 16, 2020
Last Updated: Jan 16, 2020

Practice Location

Address: 40 N. MAIN ST
City: Frankfort
State: Ohio
ZIP Code: 45628
Phone: (614) 633-5365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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