Lisa Douglass Lystad, MD
Ophthalmology in Beachwood, OH. Individual provider (NPI-1).
NPI number1023089232
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023089232
- Entity type
- Individual (NPI-1)
- Name
- Lisa Douglass Lystad
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 35061509L | OH | Yes |
Practice location
23250 Chagrin BlvdBld 5 Ste 440
Beachwood, OH 44122
Phone 216-514-1864 · Fax 216-514-1867
Mailing address
23250 Chagrin Blvd #5Bldg #5 Suite 440
Beachwood, OH 44122
Phone 216-514-1864 · Fax 216-514-1867
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