Provider Demographics
NPI:1437427663
Name:SCHLATER, LISA M (PA)
Entity Type:Individual
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First Name:LISA
Middle Name:M
Last Name:SCHLATER
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Gender:F
Credentials:PA
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Mailing Address - Street 1:7792 MISTY SHORE DR
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-9645
Mailing Address - Country:US
Mailing Address - Phone:419-206-1249
Mailing Address - Fax:513-275-3262
Practice Address - Street 1:4000 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:SUITE 450
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-3908
Practice Address - Country:US
Practice Address - Phone:937-439-3600
Practice Address - Fax:937-439-3786
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2017-03-22
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Provider Licenses
StateLicense IDTaxonomies
OH50.003437363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant