Lisa Cusick, RCP, RRT

Individual provider Active NPI General Care Registered Respiratory Therapist · Blanchester, OH

NPI 1497155154 · NPPES record last updated Sep 1, 2014

Key facts

NPI
1497155154
Entity type
Individual (NPI type 1)
Primary specialty
General Care Registered Respiratory Therapist 2279G1100X
License
RCP.13311 (OH)
Practice address
820 E Center St
Blanchester, OH 45107-1310
Phone
(937) 783-4949
NPI assigned
Sep 1, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RCP.13311OHMDGeneral Care Registered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X RCP.13311 OH Yes

Addresses

Primary practice location

820 E Center St
Blanchester, OH 45107-1310

Mailing address

1223 Phillips Ave
Dayton, OH 45410-2634

Other providers in Blanchester, OH

All providers in Blanchester, OH · General Care Registered Respiratory Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.