SearchOhio374U00000X

Tracy Lisk

NPI 1649439886 · on the registry since 2008 · sole proprietor

Practice

Address
1248 Mcgregor Ave Nw
Canton, OH 44703
Phone
(330) 933-2174

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-06-12

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