Elliott, Lisa M

Elliott, Lisa M is an individual health care provider with primary practice located at 715 E Western Reserve Rd 2Nd Fl, Poland OH 44514-3358. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Elliott, Lisa M can be contacted via phone (330) 954-3363.

Contact Information

Primary practice address
715 E Western Reserve Rd 2Nd Fl Poland OH 44514-3358
Phone: (330) 954-3363
Fax: (330) 729-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.022926 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.022926 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.022926 Ohio

Profile Details

NPI number 1447652458
LBN Legal business name Elliott, Lisa M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2014
Last updated Jul 11th, 2019 - about 7 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 1447652458 NPPES
Ohio MEDICAID 0111527

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