NPI Registry.org

Lisa Haller

NPI Registration Record

Provider / OrganizationNPIDate Certified
LISA HALLER16296839172020-09-13
Entity TypeIndividual
Provider Name Lisa Haller
Practice Office Address6465 RIDGEWOOD ST SW
CANTON, OH US
Practice Office Telephone3303121931
Mailing Address6465 RIDGEWOOD ST SW
CANTON, OH 447063141 US
HPT Codes
CodeLicense NoState
374U00000X PRIMARY
OPI Codes

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