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NPI Code Detail

MEDICARE: LISA M SCHLATER P.A.

MEDICARE: LISA M SCHLATER P.A.
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
1363A00000XPhysician Assistant50.003437OH

General Provider Information

NPI Number : 1437427663
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M SCHLATER P.A.
Provider Business Mailing Address
First Line : 7792 MISTY SHORE DR
Second Line : SUITE 450
City : WEST CHESTER
State : OH
Zip : 45069-9645
Country : US
Telephone Number : 419-206-1249
Fax Number : 513-275-3262
Provider Business Practice Location Address
First Line : 1110 OAKWOOD AVE
Second Line :
City : OAKWOOD
State : OH
Zip : 45419-2911
Country : US
Telephone Number : 378-857-1639
Fax Number : 937-567-0670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2011
Last Update Date : 02/05/2025

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