Lisa Rae Innis, P.A-C
NPI #1922192350 in Beavercreek, Ohio
Provider Information
- NPI Number
- 1922192350
- Entity Type
- Individual
- Name
- Lisa Rae Innis, P.A-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A-C
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 24, 2020
Practice Location
- Address
- 75 SYLVANIA DR
- City
- Beavercreek
- State
- Ohio
- ZIP Code
- 45440-3237
- Phone
- (937) 320-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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