Cleveland, Lisa Marie

Cleveland, Lisa Marie is an individual health care provider with primary practice located at 7400 Merton Minter St , San Antonio TX 78229-4404. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Cleveland, Lisa Marie can be contacted via phone (210) 617-5300.

Contact Information

Primary practice address
7400 Merton Minter St San Antonio TX 78229-4404
Phone: (210) 617-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 663765 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 Jun 8th, 2026 - about 5 months 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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