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NPI Code Detail

MEDICARE: LISSETTE CORTEZ

MEDICARE: LISSETTE CORTEZ
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
11041C0700XClinical Social WorkerI. 1600710OH

General Provider Information

NPI Number : 1952841827
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISSETTE CORTEZ
Provider Business Mailing Address
First Line : 1701 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2909
Country : US
Telephone Number : 216-361-8640
Fax Number :
Provider Business Practice Location Address
First Line : 1701 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2909
Country : US
Telephone Number : 216-361-8640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2017
Last Update Date : 02/27/2017

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Directions to “ LISSETTE CORTEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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