Individual
LISA N WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8423 MARKET ST STE 101, BOARDMAN, OH 44512-6778
(330) 729-8700
(330) 729-8701
Mailing address
8423 MARKET ST STE 101, BOARDMAN, OH 44512-6778
(330) 729-8700
(330) 729-8701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.081243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2562927
—
OH
Enumeration date
10/10/2005
Last updated
03/28/2018
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