Provider Demographics
NPI:1477269181
Name:GERLEMAN, LISA RAE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:RAE
Last Name:GERLEMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 STONE ST
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:IA
Mailing Address - Zip Code:52135-8652
Mailing Address - Country:US
Mailing Address - Phone:563-380-9208
Mailing Address - Fax:
Practice Address - Street 1:601 STONE ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:IA
Practice Address - Zip Code:52135-8652
Practice Address - Country:US
Practice Address - Phone:563-380-9208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH173022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner