Individual provider · Type 1 NPI

Lisa Marie Willis

Licensed Practical Nurse · Middletown, OH

NPI number 1164914701 Active

Practice location

909 Ellen Dr
Middletown, OH 45042-3337

Call (513) 435-0696 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.129264.MEDS-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1164914701

Lisa Marie Willis's National Provider Identifier is 1164914701, issued on May 30, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Middletown, OH. The record was last updated on May 30, 2018.