Most Relevant Information
Provider Data
| NPI Number: | 1003346875 |
| Provider Name: | LISA DOSTER CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2017 |
| Last Updated: | 11/30/2023 |
Provider Practice Location
1012 ODNR MOHICAN 51
PERRYSVILLE
OH
448649407
Practice Location Phone/Fax
| Phone: | 4199940300 |
| Fax: |
Provider Mailing Location
1012 ODNR MOHICAN 51
PERRYSVILLE
OH
448649407
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |