Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Diane Vaughn

Individual provider Occupational Therapy Assistant · NPI 1639634702

Lisa Diane Vaughn is an Occupational Therapy Assistant in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
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Practice location Address checks out

1209 Marietta Dr
Fairborn, OH 45324-5726
Phone: (937) 657-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 006264 (OH)

Record details

NPI number1639634702
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2019
Last updated in NPPESFebruary 4, 2019
Mailing address1209 Marietta Dr, Fairborn, OH 45324-5726

Other providers in Fairborn