Healthcare Provider Details

I. General information

NPI: 1659586543
Provider Name (Legal Business Name): LISA M. LOUWERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

9500 EUCLID AVE DESK A100
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-286-3700
  • Fax:
Mailing address:
  • Phone: 216-645-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35.124988
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301088001
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number35.124988
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: