Provider Demographics
NPI:1437760642
Name:ALEXANDER, LISA ANGELI
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANGELI
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 HERBERT DR APT J
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3549
Mailing Address - Country:US
Mailing Address - Phone:440-320-6150
Mailing Address - Fax:
Practice Address - Street 1:1400 HERBERT DR APT J
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3549
Practice Address - Country:US
Practice Address - Phone:440-320-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care