Kodek, Lisa A

Kodek, Lisa A is an individual health care provider with primary practice located at 12300 Mccracken Rd , Garfield Hts OH 44125-2914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kodek, Lisa A can be contacted via phone (216) 581-0500.

Contact Information

Primary practice address
12300 Mccracken Rd Garfield Hts OH 44125-2914
Phone: (216) 581-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP04700 Ohio

Profile Details

NPI number 1790762466
LBN Legal business name Kodek, Lisa A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 11th, 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 1790762466 NPPES
Ohio MEDICAID 2185844
Ohio Other 000000345085

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