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Dr. Lisa Elias

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NPI Number Detailed Information

Provider Information:

Name: Dr. Lisa Elias
Gender: F
Provider License Number If Given: 19174

NPI Information:

NPI: 1215930201
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 443 PEARL RD
Brunswick, OH 44212
Phone Number: 3302737300
Fax Number: 3302255060

Provider Business Practice Location Address:

Address: 443 PEARL RD
Brunswick, OH 44212
Phone Number: 3302737300
Fax Number: 3302255060

Provider Taxonomy:

Primary: 1223G0001X
Secondary (if any):
State: OH

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