| Doctor Name: | LISA BROWN |
| NPI Number: | 1063815587 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 244156 |
| Business Practice Address: | 26908 Detroit Rd Suite 200 Westlake, OH - 441452398 |
| Business Phone Number: | 4402508660 |
| Business Fax Number: | 4402508639 |
| Mailing Address: | 26908 Detroit Rd, Suite 301 WESTLAKE |
| State: | OH |
| Postal Code: | 441452398 |
| Phone Number: | 4406171823 |
| Fax Number: | 4406170884 |
| NPI Enumeration Date: | 09/29/2014 |
| NPI Last Update Date: | 09/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 244156 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |