Lisa Douglass Lystad
Ophthalmologist
23250 Chagrin Blvd Bld 5 Ste 440
Beachwood
, Ohio 44122
Lisa Douglass Lystad
Ophthalmologist
23250 Chagrin Blvd Bld 5 Ste 440
Beachwood
, Ohio 44122
(216) 514-1867
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Lisa Douglass Lystad
- 23250 Chagrin Blvd #5 Bldg #5 Suite 440
- Beachwood, OH
- Zip : 44122
- Fax : (216) 514-1867
- Phone : (216) 514-1864
Second Address
- Lisa Douglass Lystad
- 23250 Chagrin Blvd Bld 5 Ste 440
- Beachwood, OH
- Zip : 44122
- Fax : (216) 514-1867
- Phone : (216) 514-1864
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 35061509L | OH |
National Provider Identifier
| NPI | 1023089232 |
|---|---|
| Provider Name | Lisa Douglass Lystad |
| First Address | Beachwood, OH 44122 |
| Second Address | Beachwood, OH 44122 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0884593 | (05) | OH |
| F25182 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.