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NPI Code Detail

MEDICARE: MS. LISA ANN RENIER MSW, LSW

MEDICARE: MS. LISA ANN RENIER MSW, LSW
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
11041C0700XClinical Social WorkerS0011072OH

General Provider Information

NPI Number : 1578751459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ANN RENIER MSW, LSW
Provider Business Mailing Address
First Line : 2803 AKRON RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-7904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4440 POTH RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1324
Country : US
Telephone Number : 614-751-9068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2007
Last Update Date : 10/04/2007

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