LISA D KISABERTH

LORAIN, OH
NPI1831569078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.18182-NP)
Enumeration Date2015-09-30
Last Update Date2015-09-30
Business Address
-- LISA D KISABERTH CNP
4340 LEAVITT RD STE D
LORAIN, OH 44053-2386
Phone number: 440-444-0497
Mailing Address
-- LISA D KISABERTH CNP
211 EDGEFIELD BLVD
MARION, OH 43302-5801
Phone number: 740-914-4178