Provider Demographics
NPI:1063878296
Name:DEMEYERE, LISA MALIA (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MALIA
Last Name:DEMEYERE
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
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Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-6724
Mailing Address - Fax:614-293-6710
Practice Address - Street 1:300 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-293-6724
Practice Address - Fax:614-293-6710
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2024-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029659363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care