Individual
LISA M EVERT
Active
Individual
LISA M EVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-087953
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35-087953
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35-087953
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35-087953
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-087953
OH
207LP3000X
Pediatric Anesthesiology Physician
35-087953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221395
UNISON
OH
01
—
000000541269
ANTHEM
OH
01
—
0583328
BCMH
OH
01
—
1811000284
MICHIGAN MEDICAID
MI
05
—
2681012
—
OH
01
—
363600
WELLCARE MEDICAID
OH
01
—
746258
BUCKEYE MEDICAID
OH
01
—
7839837
AETNA
OH
01
—
P00400485
MEDICARE RAILROAD
OH
Enumeration date
08/17/2006
Last updated
07/10/2012
Update your record
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