Provider Demographics
NPI:1912090176
Name:SALSER, LISA LYN (MSN,CNS-BC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:LYN
Last Name:SALSER
Suffix:
Gender:F
Credentials:MSN,CNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 HATHAWAY RD
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44813-9139
Mailing Address - Country:US
Mailing Address - Phone:419-529-4602
Mailing Address - Fax:419-529-4664
Practice Address - Street 1:1456 PARK AVE W STE N
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-2790
Practice Address - Country:US
Practice Address - Phone:419-529-4602
Practice Address - Fax:419-529-4664
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNS-01854163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult