Cleveland, Lisa Marie

Cleveland, Lisa Marie is an individual health care provider with primary practice located at 618 Live Oak , San Antonio TX 78202-1932. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Cleveland, Lisa Marie can be contacted via phone (210) 223-2944.

Contact Information

Primary practice address
618 Live Oak San Antonio TX 78202-1932
Phone: (210) 223-2944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP109719 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP109719 Texas

Profile Details

NPI number 1457675068
LBN Legal business name Cleveland, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2010
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457675068 NPPES
Texas Other 376046402 CSHCN
Texas MEDICAID 376046401 CSHCN

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