Individual
MRS. LISA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, WHNP, MSN
Contact information
Practice address
2145 ADELBERT RD, CLEVELAND, OH 44106-2694
(216) 368-2000
Mailing address
2145 ADELBERT RD, CLEVELAND, OH 44106-2694
(216) 368-2000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
14064-NP
OH
Other
Enumeration date
12/19/2012
Last updated
08/07/2013
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