Individual
LISA MARIE BONACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-2718
Mailing address
4463 HILLSIDE DR, COPLEY, OH 44321-3071
(216) 778-2718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3713
OH
Other
Enumeration date
03/27/2007
Last updated
07/15/2025
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