Individual
DR. LISA WEBB DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5150
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2017-00446
NC
207P00000X
Emergency Medicine Physician
Primary
35-124372
OH
Other
Enumeration date
04/03/2013
Last updated
06/04/2020
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