Doctor Name: | LISA KUHEN |
NPI Number: | 1073607123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP-07785 |
Business Practice Address: | 36001 Euclid Ave Suite C6 Willoughby, OH - 440944643 |
Business Phone Number: | 4409460053 |
Business Fax Number: | 4409461812 |
Mailing Address: | 36001 Euclid Ave, Suite C6 WILLOUGHBY |
State: | OH |
Postal Code: | 440944643 |
Phone Number: | 4409460053 |
Fax Number: | 4409461812 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | NP-07785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |