Provider Demographics
NPI:1437962792
Name:WELSH, LISA M (N/A)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:M
Last Name:WELSH
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6703 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-9766
Mailing Address - Country:US
Mailing Address - Phone:419-239-3293
Mailing Address - Fax:
Practice Address - Street 1:6703 HAYES AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-9766
Practice Address - Country:US
Practice Address - Phone:419-239-3293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care