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General NPI Number Information
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NPI Number | 1801342530
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Entity Type | Individual
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Provider Name | LISA CLEVELAND NP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 7401 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-2444
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Country | US
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Telephone | 402-484-5600
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Fax | 402-484-5630
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Provider Business Mailing Address
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Address Line | 130 RAMPART WAY SUITE 300B
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City | DENVER
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State | CO
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Zip | 80230-6451
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Country | US
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Telephone | 303-327-4700
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Fax | 303-327-4711
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN.1642158
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0992579-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 114941
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License Number State | NE
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