Lisa Jo Holder is a Driver based in Otterbein, IN. Lisa Jo Holder practices in Otterbein, IN. The NPI Number for Lisa Jo Holder is 1427274117 and holds a License No. 0510023691 (Indiana).
The current practice location address for Lisa Jo Holder is 312 W Darby Dr, Otterbein, IN and can be reached out via phone at 765-583-2505.
Location: 312 W Darby Dr, Otterbein, IN, 47970-8563
Provider Profile Details
NPI Number
1427274117
Provider Name
Lisa Jo Holder
Credential
Provider Entity Type
Individual
Gender
Female
Address
312 W Darby Dr, Otterbein, IN, 47970-8563
Phone Number
765-583-2505
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
312 W Darby Dr
City
State
Zip
47970-8563
Phone Number
765-583-2505
Fax Number
Provider Business Mailing Address Details
Address
312 W Darby Dr
City
State
Zip
47970-8563
Phone Number
765-583-2505
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
0510023691 (Indiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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