Lisa Koenig NP-C

NPI 1700270105 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1700270105
Gender Female
Enumeration Date 03/24/2015
Last Updated 03/24/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1001 LAKESIDE AVE E
SUITE 1000
CLEVELAND OH, 44114-1158, US
Phone (419) 564-8247
Fax
Business Location
1001 LAKESIDE AVE E
SUITE 1000
CLEVELAND OH, 44114-1158, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Ohio
License Number COA 17195-NP
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According to our database, Lisa Koenig NP-C NPI is 1700270105, taxonomy code is 363LF0000X and license number is COA 17195-NP, license state is located at Ohio. Lisa Koenig NP-C physically located at 1001 Lakeside Ave E, Cleveland OH, 44114-1158. NPI Number Lisa Koenig NP-C has the Individual type.

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1700270105 NPI number is provided on an as is basis without warranty of any kind. 1700270105 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Koenig NP-C are for informational purposes only.