LISA LICEAGA

CLEVELAND, OH
NPI1215421979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: FL  OS19884)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: OH  34.015963)
Enumeration Date2018-06-17
Last Update Date2025-09-04
Business Address
-- LISA LICEAGA DO
11100 EUCLID AVE
CLEVELAND, OH 44106-1716
Phone number: 216-844-8447
Mailing Address
-- LISA LICEAGA DO
PO BOX 947407
ATLANTA, GA 30394-7407
Phone number: 941-917-2600