Peters, Lisa A

Peters, Lisa A is an individual health care provider with primary practice located at 365 S Portage Path , Akron OH 44320-2325. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Peters, Lisa A can be contacted via phone (330) 253-4597.

Contact Information

Primary practice address
365 S Portage Path Akron OH 44320-2325
Fax: (330) 762-5571
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X S.1100597 Ohio

Profile Details

NPI number 1073874582
LBN Legal business name Peters, Lisa A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated May 31st, 2012 - about 14 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 1073874582 NPPES
Ohio MEDICAID 9277202

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