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NPI Code Detail

MEDICARE: LIA MARIE RATLIFF

MEDICARE:   LIA MARIE RATLIFF
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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.0026783OH
2208000000XPediatrics PhysicianAPRN.CNP.0026783OH
3363LP0200XPediatric Nurse PractitionerAPRN.CNP.0026783OH

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 : 1952058000
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIA MARIE RATLIFF
Provider Business Mailing Address
First Line : 5250 FAR HILLS AVE STE 260
Second Line :
City : DAYTON
State : OH
Zip : 45429-2357
Country : US
Telephone Number : 937-293-4168
Fax Number :
Provider Business Practice Location Address
First Line : 5250 FAR HILLS AVE STE 260
Second Line :
City : DAYTON
State : OH
Zip : 45429-2357
Country : US
Telephone Number : 937-293-4168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2022
Last Update Date : 02/26/2026

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Directions to “ LIA MARIE RATLIFF ” Practice Location

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