Individual
MICHELLE V LISGARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-072068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224300
UNISON
OH
01
—
000000539586
ANTHEM
OH
05
—
2237823
—
OH
01
—
2560235
AETNA
OH
01
—
363772
WELLCARE
OH
01
—
440003301
RAILROAD MEDICARE
OH
01
—
745380
BUCKEYE
OH
01
—
P00425427
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
11/23/2020
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