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NPI Code Detail

MEDICARE: MS. LISA ANN CLOUD DO

MEDICARE: MS. LISA ANN CLOUD DO
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
1207Q00000XFamily Medicine Physician34.009888OH

General Provider Information

NPI Number : 1285808527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ANN CLOUD DO
Provider Business Mailing Address
First Line : 3574 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3618
Country : US
Telephone Number : 330-225-8886
Fax Number : 330-273-2533
Provider Business Practice Location Address
First Line : 3574 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3618
Country : US
Telephone Number : 330-225-8886
Fax Number : 330-273-2533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2008
Last Update Date : 03/13/2014

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Directions to “ MS. LISA ANN CLOUD DO” Practice Location

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