Lisa Douglass Lystad MD

NPI 1023089232 - Ophthalmology - 207W00000X

NPI Details
NPI 1023089232
Gender Female
Enumeration Date 01/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
23250 CHAGRIN BLVD
BLD 5 STE 440
BEACHWOOD OH, 44122, US
Phone (216) 514-1864
Fax (216) 514-1867
Business Location
23250 CHAGRIN BLVD #5
BLDG #5 SUITE 440
BEACHWOOD OH, 44122, US
Phone (216) 514-1864
Fax (216) 514-1867
Toxanomy
Taxonomy Code 207W00000X
License State Ohio
License Number 35061509L
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According to our database, Lisa Douglass Lystad MD NPI is 1023089232, taxonomy code is 207W00000X and license number is 35061509L, license state is located at Ohio. Lisa Douglass Lystad MD physically located at 23250 Chagrin Blvd, Beachwood OH, 44122. NPI Number Lisa Douglass Lystad MD has the Individual type.

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1023089232 NPI number is provided on an as is basis without warranty of any kind. 1023089232 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Douglass Lystad MD are for informational purposes only.