Healthcare Provider Details

I. General information

NPI: 1427432368
Provider Name (Legal Business Name): LISA SCHEIB CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HIGH ST STE 350
LIMA OH
45801-2915
US

IV. Provider business mailing address

144 CROWDER RD
SAINT MARYS OH
45885-3000
US

V. Phone/Fax

Practice location:
  • Phone: 419-229-3300
  • Fax:
Mailing address:
  • Phone: 419-236-5080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCOA.17602NP
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: