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1831569078
LISA D KISABERTH
LORAIN, OH
NPI
1831569078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA.18182-NP)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- LISA D KISABERTH CNP
4340 LEAVITT RD STE D
LORAIN, OH 44053-2386
Phone number: 440-444-0497
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Mailing Address
-- LISA D KISABERTH CNP
211 EDGEFIELD BLVD
MARION, OH 43302-5801
Phone number: 740-914-4178
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