Provider Demographics
NPI:1447496039
Name:GRIFFEY, LISA G (LPN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:G
Last Name:GRIFFEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 BON HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9702
Mailing Address - Country:US
Mailing Address - Phone:606-375-0676
Mailing Address - Fax:
Practice Address - Street 1:9442 SISTERVILLE RD
Practice Address - Street 2:
Practice Address - City:HAMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45130-8427
Practice Address - Country:US
Practice Address - Phone:937-725-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-02
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.112754164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse