Lisa Kolecki, | |
4360 Brecksville Rd, Richfield, OH 44286-9457 | |
(731) 394-1145 | |
Not Available |
Full Name | Lisa Kolecki |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 4360 Brecksville Rd, Richfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730965054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0033112 (Ohio) | Primary |
Entity Name | Ultra Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20191230002589 |
Mailing Address | Practice Location Address |
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Lisa Kolecki, 36 Pemberton Cv, Jackson, TN 38305-5514 Ph: () - | Lisa Kolecki, 4360 Brecksville Rd, Richfield, OH 44286-9457 Ph: (731) 394-1145 |
Loni Salmon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4059 Kinross Lakes Pkwy, Richfield, OH 44286 Phone: 860-490-2043 | |
Anna L Myers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4336 Brecksville Rd Ste B, Richfield, OH 44286 Phone: 440-202-1515 | |
Diana Lisuch, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3008 Southern Rd, Richfield, OH 44286 Phone: 612-225-1534 |