Davis, Lisa A

Davis, Lisa A is an sole proprietor health care provider with primary practice located at 36100 Euclid Ave #490, Willoughby OH 44094-4456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Davis, Lisa A can be contacted via phone (440) 953-1818.

Contact Information

Primary practice address
36100 Euclid Ave #490 Willoughby OH 44094-4456
Phone: (440) 953-1818
Fax: (440) 953-8653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35-06-5167-D Ohio

Profile Details

NPI number 1013008127
LBN Legal business name Davis, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013008127 NPPES
Ohio MEDICAID 2027943
Ohio Other 000000127718
Ohio Other 80616
Ohio Other 5143509
Ohio Other 1300195

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