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Lisa Marie Scavnicky-mamula
Respite Care in Delaware, Ohio
NPI 1477270973

Lisa Marie Scavnicky-mamula is a Respite Care based in Delaware, OH. Lisa Marie Scavnicky-mamula practices in Delaware, OH. The NPI Number for Lisa Marie Scavnicky-mamula is 1477270973 and holds a License No. (Ohio).

The current practice location address for Lisa Marie Scavnicky-mamula is 1040 Sapphire Flame Ct, Delaware, OH and can be reached out via phone at 740-816-6954.

Location: 1040 Sapphire Flame Ct, Delaware, OH, 43015-5088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477270973
Provider Name
Lisa Marie Scavnicky-mamula
Credential
Provider Entity Type
Individual
Gender
Female
Address
1040 Sapphire Flame Ct, Delaware, OH, 43015-5088
Phone Number
740-816-6954
Fax Number
Provider Enumeration Date
10/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3002533-03 01 OH TRICARE SELECT
institution
Provider Business Practice Location Address Details
Address
1040 Sapphire Flame Ct
City
Delaware
State
Ohio
Zip
43015-5088
Phone Number
740-816-6954
Fax Number
person
Provider Business Mailing Address Details
Address
1040 Sapphire Flame Ct
City
Delaware
State
Ohio
Zip
43015-5088
Phone Number
740-816-6954
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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