Deranek, Lisa Marie

Deranek, Lisa Marie is an individual health care provider with primary practice located at 15400 Pearl Rd Ste 238 , Strongsville OH 44136-6000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Deranek, Lisa Marie can be contacted via phone (440) 879-1108.

Contact Information

Primary practice address
15400 Pearl Rd Ste 238 Strongsville OH 44136-6000
Phone: (440) 879-1108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35060402 Ohio

Profile Details

NPI number 1942217070
LBN Legal business name Deranek, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Mar 13th, 2023 - about last year

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 1942217070 NPPES
Ohio MEDICAID 0928125
Ohio MEDICAID 0528125

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