Lisa Rudolph

NPI 1225389760 · on the registry since 2012 · sole proprietor

Practice

Address: 230 W Galbraith Rd
Cincinnati, OH 45215
Phone: (513) 948-2308
Organisation at this address: Sl Evergreen Llc
Sl Wellspring Llc
Sl Evergreen, Llc
Ga Hc Reit Ii Evergreen Trs Sub
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio