Individual
LISA M NEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9485 MENTOR AVENUE, SUITE 210, MENTOR, OH 44060
(440) 255-5571
(440) 205-5548
Mailing address
9485 MENTOR AVENUE, SUITE 210, MENTOR, OH 44060-1109
(440) 255-5571
(440) 205-5548
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-00-1915
OH
Other
Enumeration date
12/19/2006
Last updated
03/01/2021
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