Most Relevant Information
Provider Data
| NPI Number: | 1003470345 |
| Provider Name: | LISA MARIE COLQUITT LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 158006 |
Most Important Dates
| Enumeration Date: | 04/23/2019 |
| Last Updated: | 04/23/2019 |
Provider Practice Location
5122 GLENCROSSING WAY
CINCINNATI
OH
452383361
Practice Location Phone/Fax
| Phone: | 5138279044 |
| Fax: |
Provider Mailing Location
5122 GLENCROSSING WAY
CINCINNATI
OH
452383361
Provider Mailing Phone/Fax
| Phone: | 5138279044 |
| Fax: |