Individual
LISA NEVITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6414 NEWLAND RD, PARMA HEIGHTS, OH 44130-3242
(440) 521-7626
Mailing address
6414 NEWLAND RD, PARMA HEIGHTS, OH 44130-3242
(440) 521-7626
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096148
—
OH
Enumeration date
05/09/2014
Last updated
05/09/2014
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