| Doctor Name: | LISA M ELLIOTT |
| NPI Number: | 1447652458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | COA16515NS |
| Business Practice Address: | 715 E Western Reserve Rd Poland, OH - 445143358 |
| Business Phone Number: | 3307263204 |
| Business Fax Number: | 3307299316 |
| Mailing Address: | Po Box 636988, CINCINNATI |
| State: | OH |
| Postal Code: | 452635326 |
| Phone Number: | 8889402722 |
| Fax Number: | 5136328898 |
| NPI Enumeration Date: | 09/22/2014 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364S00000X |
| License Number: | COA16515NS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |