Individual
MISS LISA MICHELLE BERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(330) 493-4443
Mailing address
PO BOX 71-5281, COLUMBUS, OH 43271-0001
(330) 493-4442
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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