LISA MICHELLE HOLTSCLAW

FORT WAYNE, IN
NPI1619957164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001568A)
Enumeration Date2006-01-19
Last Update Date2020-06-22
Business Address
LISA MICHELLE HOLTSCLAW D.O.
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802-3210
Phone number: 260-209-7111
Mailing Address
LISA MICHELLE HOLTSCLAW D.O.
30 W MONROE ST STE 1200
CHICAGO, IL 60603-2420
Phone number: 312-733-9730