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Contact Information

LISA M NEDLEY, PA-C
9485 MENTOR AVENUE
SUITE 210
MENTOR, OH44060
 Phone: 440-255-5571
 Fax: 440-205-5548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA M NEDLEY · (Female)

NPI # 1366505406
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/19/2006
Last updated 03/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50-00-1915
Hospital affiliation(s)
  • LAKE HEALTH - (Acute Care)
    7590 AUBURN ROAD
    CONCORD, OH 44077
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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