Provider Demographics
NPI:1780873042
Name:FLOOD, LISA MARIE (CRNP)
Entity type:Individual
Prefix:MR
First Name:LISA
Middle Name:MARIE
Last Name:FLOOD
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:1001 LAKESIDE AVE E
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-1158
Mailing Address - Country:US
Mailing Address - Phone:216-263-9524
Mailing Address - Fax:216-420-9354
Practice Address - Street 1:1001 LAKESIDE AVE E
Practice Address - Street 2:SUITE 1000
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-1158
Practice Address - Country:US
Practice Address - Phone:216-263-9524
Practice Address - Fax:216-420-9354
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2015-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH263910363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health