Individual
LISA M MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25301 EUCLID AVE, EUCLID, OH 44117-2609
(216) 261-6263
(216) 261-4964
Mailing address
25301 EUCLID AVE, EUCLID, OH 44117-2609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.334407
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
14783-NP
OH
Other
Enumeration date
07/12/2013
Last updated
08/24/2021
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