Most Relevant Information
Provider Data
| NPI Number: | 1003472614 |
| Provider Name: | LISA J WILHELM |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA0400X |
| Specialty: | Registered Nurse |
| License Number: | RN.448972 |
Most Important Dates
| Enumeration Date: | 05/20/2019 |
| Last Updated: | 05/20/2019 |
Provider Practice Location
1408 CAMPBELL DR
IRONTON
OH
456382301
Practice Location Phone/Fax
| Phone: | 7405349202 |
| Fax: |
Provider Mailing Location
305 N 5TH ST
IRONTON
OH
456381578
Provider Mailing Phone/Fax
| Phone: | 7405324858 |
| Fax: |