Individual provider · Type 1 NPI
Lisa Gregory, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Cleveland, OH
NPI number
1104254275
Active
Practice location
10701 East Blvd
Cleveland, OH 44106-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704219837 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704219837 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1104254275
Lisa Gregory, NURSE PRACTITIONER's National Provider Identifier is 1104254275, issued on Oct 28, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Cleveland, OH. The record was last updated on Aug 6, 2025.