LISA OMO-GRIFFITH

FORT WAYNE, IN
NPI1629399696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71003136)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28156677)
363LF0000X Nurse Practitioner, Family
(Licence: OH  COA13460)
Enumeration Date2010-06-14
Last Update Date2023-09-11
Business Address
LISA OMO-GRIFFITH N.P.
5646 COVENTRY LN
FORT WAYNE, IN 46804-7140
Phone number: 260-203-5441
Mailing Address
LISA OMO-GRIFFITH N.P.
6809 COVINGTON CREEK TRL
FORT WAYNE, IN 46804-2871
Phone number: 260-437-4173