MEDICARE: DR. LISA M ESTERLE D.O.

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	207Q00000X	Family Medicine Physician	34006465	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427029248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA M ESTERLE D.O.

Provider Business Mailing Address
First Line	:	3515 MASSILLON RD STE 300
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-7854
Country	:	US
Telephone Number	:	234-271-3353
Fax Number	:	330-725-6334

Provider Business Practice Location Address
First Line	:	3780 MEDINA RD STE 110
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-9312
Country	:	US
Telephone Number	:	234-360-0781
Fax Number	:

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	01/24/2023

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