LISA HISSONG

NEWARK, OH
NPI1396285714
Entity TypeOrganization
Authorized ContactLISA MARIE HISSONG
Lpn
337-301-1272
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2017-03-04
Last Update Date2017-03-04
Business Address
LISA HISSONG
949 GUCKERT AVE
NEWARK, OH 43055-2635
Phone number: 337-301-1272
Mailing Address
LISA HISSONG
949 GUCKERT AVE
NEWARK, OH 43055-2635
Phone number: 337-301-1272