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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 |
