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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA RENEE BUSSERT

Active Sole Proprietor

LISA RENEE BUSSERT is a Athletic Trainer healthcare provider located in AMANDA, Ohio. NPI 1083204184 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · AMANDA, OH

Registration Details

NPI Number
1083204184
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2021 (5.579349326346 yrs)
Last Updated
Jan 22, 2021
License
LPN.148873.MEDS-IV (OH)
Sole Proprietor
Yes

Practice Information

Address
8700 OAKLAND STOUTSVILLE RD SW
AMANDA, OH, 431029553
Browse OH providers · Browse ZIP 43102
Phone
7405034092
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.