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NPI Code Detail

MEDICARE: LISA M SCHNELL PA

MEDICARE:   LISA M SCHNELL  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50-003221OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174829378
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M SCHNELL PA
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-445-3363
Fax Number : 216-636-5956
Provider Business Practice Location Address
First Line : 5555 TRANSPORTATION BLVD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-5371
Country : US
Telephone Number : 877-440-8326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2011
Last Update Date : 09/23/2025

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Directions to “ LISA M SCHNELL PA” Practice Location

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