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NPI Code Detail

MEDICARE: LILY OWUSUA HARMON FNP

MEDICARE: LILY OWUSUA HARMON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerCOA.16612-NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184027500
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILY OWUSUA HARMON FNP
Provider Business Mailing Address
First Line : PO BOX 933421
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-5072
Fax Number : 937-641-6129
Provider Business Practice Location Address
First Line : 2261 PHILADELPHIA DR
Second Line :
City : DAYTON
State : OH
Zip : 45406-1126
Country : US
Telephone Number : 937-734-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2014
Last Update Date : 06/22/2026

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Directions to “ LILY OWUSUA HARMON FNP” Practice Location

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