Lisa Davis, FNP-BC | |
16812 Eldamere Ave, Cleveland, OH 44128-1516 | |
(216) 577-6735 | |
Not Available |
Full Name | Lisa Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 16812 Eldamere Ave, Cleveland, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114464708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.020378 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Hospitals Medical Group Inc | 4789682493 | 1542 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
---|---|
Lisa Davis, FNP-BC 16812 Eldamere Ave, Cleveland, OH 44128-1516 Ph: (216) 577-6735 | Lisa Davis, FNP-BC 16812 Eldamere Ave, Cleveland, OH 44128-1516 Ph: (216) 577-6735 |
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