Dicristofaro, Lisa

Dicristofaro, Lisa is an individual health care provider with primary practice located at 12000 Mccracken Rd Suite 550, Garfield Heights OH 44125-2964. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dicristofaro, Lisa can be contacted via phone (216) 581-8369.

Contact Information

Primary practice address
12000 Mccracken Rd Suite 550 Garfield Heights OH 44125-2964
Phone: (216) 581-8369
Fax: (216) 663-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35078475 Ohio

Profile Details

NPI number 1053312892
LBN Legal business name Dicristofaro, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 5th, 2008 - about 16 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 1053312892 NPPES
Ohio MEDICAID 2214544

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