Individual
LISA A MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
850 COLUMBIA RD, SUITE 300, WESTLAKE, OH 44145-1493
(440) 808-8030
(440) 808-8032
Mailing address
850 COLUMBIA RD, SUITE 300, WESTLAKE, OH 44145-1493
(440) 808-8030
(440) 808-8032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NCCPA1062953
OH
Other
Enumeration date
06/08/2006
Last updated
08/19/2019
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