MEDICARE: MRS. LISA L WEBER RN

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
1	163WA2000X	Administrator Registered Nurse	RN.317629	OH

General Provider Information

NPI Number	:	1336810670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA L WEBER RN

Provider Business Mailing Address
First Line	:	PO BOX 751994
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45475-1994
Country	:	US
Telephone Number	:	937-499-4043
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 FOX RUN RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3416
Country	:	US
Telephone Number	:	937-499-4043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2021
Last Update Date	:	09/27/2021

Similar Medicare Providers

1558734814 — MICHELLE LAVENDER
Practice Location Address:

2041 FAIRPORT AVE
DAYTON, OH
45406-3416

Practice Phone: 513-501-6503
Practice Fax:

1386408748 — RALPHEAL BERRY
Practice Location Address:

215 E FAIRVIEW AVE
DAYTON, OH
45405-3416

Practice Phone: 380-223-7219
Practice Fax:

1730069865 — SHERRI NELSON
Practice Location Address:

3416 BARBEE DR
DAYTON, OH
45406-1105

Practice Phone: 937-275-1621
Practice Fax:

1982898417 — STEVEN R HILLIGOSS
Practice Location Address:

1997 MIAMISBURG CENTERVILLE RD
DAYTON, OH
45459-3811

Practice Phone: 937-401-6000
Practice Fax:

1912528027 — MACEY A GROSS
Practice Location Address:

6438 WILMINGTON PIKE STE 100
DAYTON, OH
45459-7021

Practice Phone: 937-558-3840
Practice Fax: 937-558-3844

1336787225 — RACHELE SMITH CDCA
Practice Location Address:

7058 CORPORATE WAY STE 3
DAYTON, OH
45459-4243

Practice Phone: 513-377-9374
Practice Fax:

Directions to “ MRS. LISA L WEBER RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.