Provider Demographics
NPI:1962263269
Name:JAMES, LISA APRIL
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:APRIL
Last Name:JAMES
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 1:3638 RAYMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2617
Mailing Address - Country:US
Mailing Address - Phone:216-773-3287
Mailing Address - Fax:
Practice Address - Street 1:3638 RAYMONT BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2617
Practice Address - Country:US
Practice Address - Phone:216-773-3287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care