| Doctor Name: | MRS. LISA DILLON |
| NPI Number: | 1578929667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 337185 |
| Business Practice Address: | 5940 Clyde Moore Dr Ste B Groveport, OH - 431252010 |
| Business Phone Number: | 6148332011 |
| Business Fax Number: | 6148364683 |
| Mailing Address: | 5940 Clyde Moore Dr Ste B, GROVEPORT |
| State: | OH |
| Postal Code: | 431252010 |
| Phone Number: | 6148332011 |
| Fax Number: | 6148364683 |
| NPI Enumeration Date: | 01/06/2016 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 337185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |