Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 60249423 | WA |
Y | 175F00000X | Naturopath | NT 60249423 | WA |
NPI | 1073061636 |
---|---|
Provider Name | Dr. Lisa Maureen Gallagher |
First Address | West Chester, OH 45069-3098 |
Second Address | West Chester, OH 45069-3098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2016 |
Last Update Date | 09/05/2019 |